Individual provider Active NPI

Karlene Kilmer, PHD

  • Clinical Psychologist
  • Manitou Springs, CO
National Provider Identifier
1063505048
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3448 Issued in CO
Practice address
441 Manitou Ave Ste 201
Manitou Springs, CO 80829-2334
Phone
(719) 460-7289
Fax
(719) 623-0657
NPI assigned
Oct 2, 2006
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0890 NM
Clinical Psychologist 103TC0700X 3448 CO Primary

Addresses

Primary practice location

441 Manitou Ave Ste 201
Manitou Springs, CO 80829-2334

Mailing address

441 Manitou Ave Ste 201
Manitou Springs, CO 80829-2334
Phone (719) 460-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000655 CO Practitioner - Clinical Psychologist 7416976279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of South Carolina School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0890NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Clinical CurrentSince Sep 20, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Sep 20, 2025 Accepting new patients
Albuquerque Behavioral Health, LLC Past Accepting new patients
Age to Age Counseling PC PastSince Oct 13, 2009 Accepting new patients

Locations

1330 Quail Lake Loop
Ste 260
Colorado Springs, CO 80906
Phone (719) 464-6752

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1063505048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MANITOU AVE STE 201",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292334",
            "telephone_number": "719-460-7289",
            "fax_number": "719-623-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MANITOU AVE STE 201",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292334",
            "telephone_number": "719-460-7289",
            "fax_number": "719-623-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "KARLENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0890",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitou Springs, CO

Sources for this page

Verify at the official NPI Registry.