Kimberly Mason

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0021643 Issued in CO

Practice address

16965 Pine LN Ste 103
Parker, CO 80134-6517

Phone

(720) 842-5553

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southeast Christian Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
  • NPI 1326645839
  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1497587869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16965 PINE LN STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346517",
            "telephone_number": "720-842-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16965 PINE LN STE 103",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346517",
            "telephone_number": "720-842-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0021643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Martinez-Heinrich, L.AC, LMT
• Geraldine Denise Martinez, RN, BSM
• Rachel Jane Martinez, LPCC
• Jennifer Martino, RN
• Karima Marzaq-Sager
• Massage Colorado Inc.
• Deborah Kolker Mastin, MSW, LCSW
• Aaron Kyle Mates, M.D.
• Christopher Mathewson, ATC,CSCS
• Matthew a Metz MD PC

• Mental Health Counselor in Parker, CO
• Providers in Parker, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.