Kim Koditek LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KIM KODITEK LCSW LLC

Practice address

706 Hays Cir
Longmont, CO 80504-1338

Phone

(720) 480-4814

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kim Koditek, MSW

Title

Therapist/Owner

Phone

(720) 480-4814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Chadwick Koditek, MSW

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1225312721
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1548983372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HAYS CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041338",
            "telephone_number": "720-480-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HAYS CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041338",
            "telephone_number": "720-480-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KODITEK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "KODITEK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "720-480-4814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidz Phyzio LLC
• Kelsey Kiesz, AU.D.
• Scott Kietzer, LAC/LPC
• Colleen Anne Kilcullen, NP
• Kristi L Killgore
• Grace J Kim, OD
• Jalpa B Kim, MD
• Shawn Kimball, DDS
• Shelby Kindem
• Kinder Kounseling

• Community/Behavioral Health Agency in Longmont, CO
• Providers in Longmont, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.