Healthcare Provider Details

I. General information

NPI: 1487305843
Provider Name (Legal Business Name): KIMBERLY LORRAINE HARKER MS, LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST # 7203
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST # 7203
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 602-527-2624
  • Fax: 480-546-4287
Mailing address:
  • Phone: 602-527-2624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0024374
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLIAC155304
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002047
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC8962
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: