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

Mimi M Kennedy-Ross, LPC

Individual provider Professional Counselor · NPI 1760927412

Mimi M Kennedy-Ross, LPC is a Professional Counselor in Oracle, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Partly verified

Some contact details are missing from the federal record.

Dodge & Mt Lemmon Rd
Oracle, AZ 85623
Phone: (520) 896-9240
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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-16413 (AZ)

Record details

NPI number1760927412
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 4, 2017
Last updated in NPPESJanuary 4, 2017

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