Kimberly Dawn De Jong, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCC.0017932 Issued in CO

Practice address

1212 Raintree Dr Unit A2
Fort Collins, CO 80526-1832

Phone

(970) 889-8002

NPI assigned

Apr 1, 2022

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 12, 2026 through Jun 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1932849296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 RAINTREE DR UNIT A2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261832",
            "telephone_number": "970-889-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 RAINTREE DR UNIT A2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261832",
            "telephone_number": "970-889-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0017932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Beyondthemirror@protonmail.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Email with Protonmail",
            "affiliationName": "Beyond the Mirror, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1212 Raintree Dr Unit A2",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805261832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorna Gail Dawson, APRN
• Day Psychiatry
• Karli Day
• Lorrie Day, NP
• Luke Trainer Day
• Alyssa L De la Torre, MA
• Rebecca Ann De Latorre, MD
• Hector Eduardo De Leon, MD
• Olivia Deagostino
• Jason Deboodt

• Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.