Adam Gregory Kimber, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0002014 Issued in CO

Practice address

6870 W 52ND Ave Ste 214
Arvada, CO 80002-3953

Phone

(303) 898-9616

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Untethered Recovery PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arvada, CO
  • NPI 1699666354
  NPD Authorized official
• Untethered Recovery PLLC

  • Community/Behavioral Health Agency
  • Arvada, CO
  • NPI 1790408714
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1043931330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 214",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "303-898-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 214",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "303-898-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBER",
        "first_name": "ADAM",
        "middle_name": "GREGORY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0002014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kiebish
• Craig Kilpatrick, MD
• Elisa Kim Lee, DDS
• Crystal Kim, DMD
• Traci A. Kimball, MD CWSP
• Michael Everett Kimmey, EMT
• Kindhearts LLC
• Michelle King-Chrisman, PA-C
• Daniel King
• Kingston Dialysis LLC

• Addiction (Substance Use Disorder) Counselor in Arvada, CO
• Providers in Arvada, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.