Organization Active NPI

Kimberly Fernandes LLC

  • Professional Counselor
  • Loveland, CO
National Provider Identifier
1710429121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0014046 Issued in CO
Legal business name
KIMBERLY FERNANDES LLC
Practice address
441 E 4TH St Ste 101
Loveland, CO 80537-5653
Phone
(970) 673-7372
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kimberly Fernandes, LPC, NCC
Title
Licensed Professional Counselor, NA
Phone
(970) 673-7372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0014046 CO Primary

Addresses

Primary practice location

441 E 4TH St Ste 101
Loveland, CO 80537-5653

Mailing address

838 Ranchhand Dr
Berthoud, CO 80513-2679
Phone (970) 673-7372

Other practice location 1

109 Coronado Court
Building 7
Fort Collins, CO 80525
Phone (406) 868-4687

Other identifiers 1

IdentifierTypeStateIssuer
0014046OtherCONONE YET, APPLYING CURRENTLY

National Provider Directory

National Provider Directory

Locations

441 E 4th St
Ste 101
Loveland, CO 80537
Phone (970) 673-7372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710429121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 RANCHHAND DR",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805132679",
            "telephone_number": "970-673-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E 4TH ST STE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375653",
            "telephone_number": "970-673-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Coronado Court",
            "address_2": "Building 7",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80525",
            "country_code": "US",
            "telephone_number": "406-868-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMBERLY FERNANDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR, NA",
        "authorized_official_telephone_number": "970-673-7372",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0014046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE YET, APPLYING CURRENTLY",
            "identifier": "0014046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.