KIM ANN MERRILL


Address: 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375
Phone: 3039316052

KIM ANN MERRILL (NPI# 1003470139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003470139
Entity Type Individual
Full Name KIM ANN MERRILL
Credential MA, LPC, NCC
Practice Address 6658 Gunpark Dr Ste 201
Boulder
CO 80301-3375
Mailing Address 13915 Shannon Dr
Broomfield
CO 80023-4245
Practice Telephone 3039316052
Mailing Telephone 7204329955
Enumeration Date 2019-04-24
Last Update Date 2019-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0000914 CO Behavioral Health & Social Service Providers

Office Location

Street Address 6658 GUNPARK DR STE 201
City BOULDER
State CO
Zip Code 80301-3375

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881205466 Sara Horn Counselor 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 2020-08-16
1669095618 Allison Margaret Leddy Villarreal Counselor 737 29th St Ste 200f, Boulder, CO 80303-2474 2020-05-26
1265053961 Positive Regard Psychotherapy Pllc Counselor 3102 Gamow Ln, Boulder, CO 80301-5465 2020-05-04
1154953776 Willow Mae Arlenea Counselor 4500 19th St Lot 379, Boulder, CO 80304-0663 2020-02-11
1336779925 Lisa Wallace Counselor 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 2020-01-22
1952952764 Lauren Bleu Northrup Counselor 170 Seminole Dr, Boulder, CO 80303-4227 2019-09-23
1750947289 Shelly Froehlich Counselor 1637 28th St Ste 201, Boulder, CO 80301-1001 2019-05-09
1477019222 Elizabeth Ann Maher Counselor 4949 Broadway St Ste 201, Boulder, CO 80304-0578 2019-02-18
1124592225 Stepheny Antrobus Counselor 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 2019-01-11
1679042766 Julie Lynn Holburn Counselor 737 29th St Ste 200-g, Boulder, CO 80303-2317 2018-11-18
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Competitor

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City BOULDER
Zip Code 80301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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