Individual provider Active NPI

Kimberly Coon, MFTC, LPCC

  • Counselor
  • Denver, CO
National Provider Identifier
1801549993
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCC.0019222 Issued in CO
Practice address
2101 S Blackhawk St Ste 240
Denver, CO 80014-1475
Phone
(303) 345-5750
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTC.0014264 CO
Counselor 101Y00000X LPCC.0019222 CO Primary

Addresses

Primary practice location

2101 S Blackhawk St Ste 240
Denver, CO 80014-1475

Mailing address

3614 S Andes CT
Aurora, CO 80013-3539

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
I20241120004677 CO Practitioner - Mental Health Counselor 0547795064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0019222COMDCounselor
MFTC.0014264COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Counseling PLLC Counselor Current Accepting new patients
Higher Sights Counseling CurrentSince Nov 14, 2024 Accepting new patients

Locations

8805 W 14th Ave
Ste 300
Lakewood, CO 80215
Phone (720) 470-0382

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1801549993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 S ANDES CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S BLACKHAWK ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800141475",
            "telephone_number": "303-345-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "KIMBERLY",
        "credential": "MFTC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014264",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0019222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.