Active NPI
Lisa Kennedy, LMFT
- Marriage & Family Therapist
- Broomfield, CO
National Provider Identifier
1356719637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 853
- Practice address
- 2095 W 6TH Ave
Suite 206
Broomfield, CO 80020-1870 - Phone
- (951) 515-3477
- Fax
- (720) 668-8954
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 853 | CO | Primary |
Addresses
Primary practice location
2095 W 6TH Ave
Suite 206
Broomfield, CO 80020-1870
Mailing address
565 Saint Andrews LN
Louisville, CO 80027-3277
Phone (951) 515-3477
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
| License | State | Type | Specialty |
|---|---|---|---|
| 853 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1356719637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 SAINT ANDREWS LN",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800273277",
"telephone_number": "951-515-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W 6TH AVE",
"address_2": "SUITE 206",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201870",
"telephone_number": "951-515-3477",
"fax_number": "720-668-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.