Healthcare Provider Details

I. General information

NPI: 1821912015
Provider Name (Legal Business Name): KIMBERLY ANN DENNIS MA, LPC, PAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6081 S QUEBEC ST
CENTENNIAL CO
80111-4536
US

IV. Provider business mailing address

1900 S ACOMA ST UNIT 803
DENVER CO
80223-3982
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-9306
  • Fax:
Mailing address:
  • Phone: 770-363-6038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0024233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: