Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Jean Wax

Individual provider Mental Health Counselor · NPI 1528408630

Kimberly Jean Wax is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

750 E Thunderbird Rd Ste 1-3
Phoenix, AZ 85022-5306
Phone: (602) 230-7373
Fax: (602) 218-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5701 W Talavi Blvd, Glendale, AZ 85306-1886 — (623) 486-8202
  • 2204 S Dobson Rd Ste 201, Mesa, AZ 85202-6457 — (602) 230-7373

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC-20059 (AZ)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1528408630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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