Organization Active NPI

Kymberly Maestas, LPC, LLC

  • Professional Counselor
  • Grand Junction, CO
National Provider Identifier
1194541201
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KYMBERLY MAESTAS, LPC, LLC
Doing business as
Kymberly Maestas, LPC, LLC
Practice address
300 Main St Ste 201
Grand Junction, CO 81501-2404
Phone
(970) 549-2849
Fax
(970) 549-1400
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Kymberly Maestas-Cannon, MA, LPC, CAS, NCC
Title
Mental Health Therapist
Phone
(970) 623-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

300 Main St Ste 201
Grand Junction, CO 81501-2404

Mailing address

300 Main St Ste 201
Grand Junction, CO 81501-2404
Phone (970) 549-2849

Other names 1

  • Kymberly Maestas, LPC, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

300 Main St
Ste 201
Grand Junction, CO 81501
Phone (970) 549-2821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1194541201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012404",
            "telephone_number": "970-549-2849",
            "fax_number": "970-549-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012404",
            "telephone_number": "970-549-2849",
            "fax_number": "970-549-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMBERLY MAESTAS, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MAESTAS-CANNON",
        "authorized_official_first_name": "KYMBERLY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "970-623-0512",
        "authorized_official_credential": "MA, LPC, CAS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kymberly Maestas, LPC, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kymberly Maestas, LPC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.