Active NPI
Katelyn Taylor Kirk-Provencher, PHD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1205653342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0006530
- Practice address
- 3520 W Oxford Ave
Denver, CO 80236-3108 - Phone
- (038) 667-0663
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY.0006530 | CO | |
| Clinical Psychologist | 103TC0700X | PSY.0006530 | CO | Primary |
Addresses
Primary practice location
3520 W Oxford Ave
Denver, CO 80236-3108
Mailing address
3520 W Oxford Ave
Denver, CO 80236-3108
Phone (303) 866-7066
Other names 1
- Dr. Katelyn Kirk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Comprehensive Community Mental Health Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Aurora Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aurora, CO
- NPI 1508463340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1205653342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 W OXFORD AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802363108",
"telephone_number": "303-866-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W OXFORD AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802363108",
"telephone_number": "038-667-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK-PROVENCHER",
"first_name": "KATELYN",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-20",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CO",
"license": "PSY.0006530",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0006530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "KIRK",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.