Active NPI
Tim Kitchens, LPC, LAC
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1730736836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0018354
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730736836 | Other | CO | NPI |
Other names 1
- Advanced Behavioral Therapy
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001912 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0018354 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Therapy, PLLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Mental Health Counselor
- Denver, CO
- NPI 1861105520
Addiction (Substance Use Disorder)
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.