Individual provider Active NPI

Kimberly Kay Walter, PHD, LMFT

  • Marriage & Family Therapist
  • Brighton, CO
National Provider Identifier
1922134014
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT790 Issued in CO
Practice address
14575 Watkins Rd
Brighton, CO 80603-6511
Phone
(303) 551-4353
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT790 CO Primary

Addresses

Primary practice location

14575 Watkins Rd
Brighton, CO 80603-6511

Mailing address

14575 Watkins Rd
Brighton, CO 80603-6511
Phone (303) 551-4353

Other practice location 1

7030 S Yosemite St
Ste 210
Centennial, CO 80112-2026
Phone (303) 721-9984

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT790COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1922134014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 WATKINS RD",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806036511",
            "telephone_number": "303-551-4353",
            "fax_number": "303-430-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 WATKINS RD",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806036511",
            "telephone_number": "303-551-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7030 S Yosemite St",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801122026",
            "country_code": "US",
            "telephone_number": "303-721-9984",
            "fax_number": "303-267-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.