IndividualActive
Mimi Kennedy-Ross, LPC
NPI 1760927412 · Professional Counselor · Oracle, AZ
Provider details
- NPI number
- 1760927412
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC-16413 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Dodge & Mt Lemmon Rd
Oracle, AZ 85623
Phone: (520) 896-9240
Street-level locationGet directions
Mailing address
Dodge & Mt Lemmon Rd
Oracle, AZ 85623
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2017-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.