Individual provider Active NPI

Gordon Jay Kieft, M.DIV., M.A.

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1215003736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 430 Issued in CO
Practice address
6500 E Girard Ave
Denver, CO 80224-2849
Phone
(303) 741-5588
Fax
(303) 756-7703
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 430 CO Primary

Addresses

Primary practice location

6500 E Girard Ave
Denver, CO 80224-2849

Mailing address

9185 E Kenyon Ave
Suite 120
Denver, CO 80237-1822
Phone (303) 741-5588

Other names 1

  • Mr. Gordon Jay Kieft Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC 430COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling for Denver, Inc. Mental Health Past Accepting new patients
Christian Living Communities Past Accepting new patients

Organizations & group practices 2

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215003736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9185 E KENYON AVE",
            "address_2": "SUITE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371822",
            "telephone_number": "303-741-5588",
            "fax_number": "303-756-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 E GIRARD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242849",
            "telephone_number": "303-741-5588",
            "fax_number": "303-756-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFT",
        "first_name": "GORDON",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "M.DIV., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC 430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GORDON",
            "last_name": "KIEFT",
            "middle_name": "JAY",
            "prefix": "MR.",
            "credential": "M.DIV., M.A.",
            "code": "1",
            "type": "Former 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 Jul 8, 2007; 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.