Individual provider Active NPI

Kim Kluger-Bell, MFT

  • Marriage & Family Therapist
  • Boulder, CO
National Provider Identifier
1265557805
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
860 Issued in CO
Practice address
2769 Iris Ave
Suite 110
Boulder, CO 80304-4405
Phone
(303) 517-3702
NPI assigned
Mar 20, 2007
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 860 CO Primary

Addresses

Primary practice location

2769 Iris Ave
Suite 110
Boulder, CO 80304-4405

Mailing address

2769 Iris Ave
Suite 110
Boulder, CO 80304-4405
Phone (303) 517-3702

Other identifiers 1

IdentifierTypeStateIssuer
860OtherCOMARRIAGE AND FAMILY THERAPIST

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
860COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1265557805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE",
            "address_2": "SUITE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "303-517-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE",
            "address_2": "SUITE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "303-517-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGER-BELL",
        "first_name": "KIM",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "860",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.