Kimberlee Ann Comfort, MA, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3043 Issued in MN

Practice address

1405 Silver Lake Rd NW
New Brighton, MN 55112-9301

Phone

(651) 633-4532

Fax

(651) 633-9311

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1033354154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-633-4532",
            "fax_number": "651-633-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-633-4532",
            "fax_number": "651-633-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMFORT",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "credential": "MA, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "661319500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "58053",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH - UBH",
            "identifier": "62-68366",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teryn Lea Coffman
• Jennifer Ruth Cohen, LMFT
• Samantha Colai, LMFT, RPT, SEP
• Jackie M Colaizy, LICSW
• Sarah Jennifer Coleman, MA, LMFT
• Como Behavioral Care LLC
• Connections & Wellness, PLLC
• Teresa Josephine Connelly, MA
• Cornelius Counseling, LLC
• Amanda Virginia Cornelius, LPC

• Psychologist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.