Healthcare Provider Details

I. General information

NPI: 1740517135
Provider Name (Legal Business Name): JENNIFER MARIE KEMPFERT MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 01/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 VICTOR STREET
AURORA CO
80045
US

IV. Provider business mailing address

11059 E. BETHANY DRIVE
AUORA CO
80014
US

V. Phone/Fax

Practice location:
  • Phone: 608-424-9100
  • Fax:
Mailing address:
  • Phone: 608-576-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0001144
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: