Individual provider Active NPI

Kendall R Kershner-Rice, PHD

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1144502352
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004886 Issued in CO
Practice address
5941 Middlefield Rd Ste 201
Littleton, CO 80123-7937
Phone
(970) 310-3406
NPI assigned
Sep 13, 2011
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0011247 CO
Professional Counselor 101YP2500X LPC.0011247 CO
Clinical Psychologist 103TC0700X PSY.0004886 CO Primary

Addresses

Primary practice location

5941 Middlefield Rd Ste 201
Littleton, CO 80123-7937

Mailing address

5941 Middlefield Rd Ste 201
Littleton, CO 80123-7937
Phone (970) 310-3406

Other practice location 1

9351 Grant St Ste 560
Thornton, CO 80229-4373
Phone (970) 310-3406

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
I20181115002225 CO Practitioner - Clinical Psychologist 8224382924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1770 25TH Ave
Suite 206
Greeley, CO 80634-4949
Phone (970) 310-3406

5941 Middlefield Rd
Suite 201
Littleton, CO 80123-7937
Phone (970) 310-3406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.0011247COMDMental Health Counselor
PSY.0004886COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health CurrentSince Sep 11, 2018 Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Sep 11, 2018 Accepting new patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients

Locations

304 Inverness Way S
Ste 225
Englewood, CO 80112
Phone (720) 255-8730

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

5941 Middlefield Rd
Ste 201
Littleton, CO 80123
Phone (303) 809-6757

9351 Grant St
Ste 560
Thornton, CO 80229
Phone (303) 286-4000

Organizations & group practices 3

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1144502352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 MIDDLEFIELD RD STE 201",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237937",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 MIDDLEFIELD RD STE 201",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237937",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9351 Grant St Ste 560",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294373",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSHNER-RICE",
        "first_name": "KENDALL",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0011247",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011247",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.