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

Kimberly Van Wuffen, LPC

Individual provider Professional Counselor · NPI 1114673837

Kimberly Van Wuffen, LPC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone: (833) 351-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-20531 (AZ)

Record details

NPI number1114673837
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 22, 2022
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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