Individual provider Active NPI

Kimberly Jane Hernandez, LPCC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Highlands Ranch, CO
National Provider Identifier
1134922750
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0002938 Issued in CO
Practice address
8871 Ridgeline Blvd Ste 110
Highlands Ranch, CO 80129-2433
Phone
(970) 281-5303
NPI assigned
Mar 29, 2025
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0002938 CO Primary
Professional Counselor 101YP2500X 0022899 CO

Addresses

Primary practice location

8871 Ridgeline Blvd Ste 110
Highlands Ranch, CO 80129-2433

Mailing address

8871 Ridgeline Blvd Ste 110
Highlands Ranch, CO 80129-2433
Phone (970) 281-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0022899COMDProfessional Counselor
0002938COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1134922750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8871 RIDGELINE BLVD STE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292433",
            "telephone_number": "970-281-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8871 RIDGELINE BLVD STE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292433",
            "telephone_number": "970-281-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "LPCC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0002938",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.