Kimberly Dibiase, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0001412 Issued in CO

Practice address

6160 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3503

Phone

(719) 439-5979

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1700399029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 SAN FELICE PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233503",
            "telephone_number": "719-439-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noely Selina Diaz
• Theresa Marie Diaz, OTR/L
• Veronica Diaz
• Jamie Marie Dibble, CD(DONA)
• Emily Dibernardo
• Sophie Callista Diblasio
• Randi G Dibuono, DPT
• John Forrest Dick, LCSW
• Josiah Dicken
• Jorlyse Dickens, MSW

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.