Active NPI
Kimberly Sue Leonard
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1497579106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0014706
- Practice address
- 5525 N Union Blvd Ste 103
Colorado Springs, CO 80918-1967 - Phone
- (719) 922-3410
- NPI assigned
- Nov 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0014706 | CO | Primary |
Addresses
Primary practice location
5525 N Union Blvd Ste 103
Colorado Springs, CO 80918-1967
Mailing address
15874 Kansas Pacific CT
Monument, CO 80132-6107
Phone (805) 757-1228
Other practice location 1
15874 Kansas Pacific Ct
Monument, CO 80132-6107
Phone (719) 922-3410
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 |
|---|---|---|---|
| MFTC.0014706 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1497579106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15874 KANSAS PACIFIC CT",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326107",
"telephone_number": "805-757-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 N UNION BLVD STE 103",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181967",
"telephone_number": "719-922-3410"
}
],
"practiceLocations": [
{
"address_1": "15874 Kansas Pacific Ct",
"address_purpose": "LOCATION",
"city": "Monument",
"state": "CO",
"postal_code": "801326107",
"country_code": "US",
"telephone_number": "719-922-3410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-09",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0014706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.