Individual provider Active NPI

Lila Kimel, PHD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1609195577
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3417 Issued in CO
Practice address
2170 S Parker Rd Ste 290
Denver, CO 80231-5748
Phone
(720) 269-1777
Fax
(303) 825-2170
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3417 CO Primary

Addresses

Primary practice location

2170 S Parker Rd Ste 290
Denver, CO 80231-5748

Mailing address

2170 S Parker Rd Ste 290
Denver, CO 80231-5748
Phone (303) 369-1777

Other identifiers 1

IdentifierTypeStateIssuer
53750071MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803001057 CO Practitioner - Clinical Psychologist 8820121437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimel Psychological Services, LLCGroup PAC ID 1951849975, 2 clinicians

Practice addresses (Care Compare)

2170 S Parker Rd
Suite 290
Denver, CO 80231-5748
Phone (303) 369-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3417COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kimel Psychological Services, LLC Clinical Current Accepting new patients
Kimel Psychological Services, LLC Clinical CurrentSince May 30, 2024 Accepting new patients

Locations

2170 S Parker Rd
Ste 290
Denver, CO 80231
Phone (303) 369-1777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1609195577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 S PARKER RD STE 290",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315748",
            "telephone_number": "303-369-1777",
            "fax_number": "303-825-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 S PARKER RD STE 290",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315748",
            "telephone_number": "720-269-1777",
            "fax_number": "303-825-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMEL",
        "first_name": "LILA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53750071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.