Individual provider Active NPI

Tim Kitchens, LPC, LAC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1730736836
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0018354 Issued in CO
Practice address
1777 S Bellaire St Ste 260
Denver, CO 80222-4314
Phone
(720) 509-9755
NPI assigned
Aug 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0018354 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001912 CO

Addresses

Primary practice location

1777 S Bellaire St Ste 260
Denver, CO 80222-4314

Mailing address

1777 S Bellaire St Ste 260
Denver, CO 80222-4314
Phone (720) 509-9755

Other identifiers 1

IdentifierTypeStateIssuer
1730736836OtherCONPI

Other names 1

  • Advanced Behavioral Therapy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001912COMDAddiction (Substance Use Disorder) Counselor
LPC.0018354COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Therapy, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2023 Accepting new patients

Locations

1777 S Bellaire St
Ste 260
Denver, CO 80222
Phone (720) 509-9755

1777 S Harrison St
Ste 1200
Denver, CO 80210
Phone (303) 809-1704

Organizations & group practices 1

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1730736836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224314",
            "telephone_number": "720-509-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224314",
            "telephone_number": "720-509-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "TIM",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018354",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730736836",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADVANCED",
            "last_name": "THERAPY",
            "middle_name": "BEHAVIORAL",
            "credential": "PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.