Active NPI 1174071179 Individual Practitioner Female Practitioner

Kathleen Kenefick , LPC

Counselor - Professional • Boulder, CO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kathleen Kenefick, LPC is a registered healthcare professional specializing in Counselor - Professional in Boulder, CO. Official NPI practice address is registered at 1750 30TH ST # 631.

Practice Location & Contact Primary Location

Practice Address

1750 30th St # 631

Boulder, CO 803011029

Telephone 3038189624

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boulder, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.4 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

345 Specialists

Practicing in Boulder, CO (7054 Statewide)

Telehealth Adoption Rate

1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO 0006340

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Mental Health Counselor

18 002732 (NY)

Commercial Insurance / Payer ID Board Certified Biofeedback

B 4172 (CO)

Commercial Insurance / Payer ID Lpc

0006340 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2016

Registered at 1750 30TH ST # 631, BOULDER, CO 803011029 (Tel: 3038189624)

📍

Updated Business Mailing Address September 19, 2016

Registered at 1750 30TH ST # 631, BOULDER, CO 803011029 (Tel: 3038189624)

👤

Provider Name / Credentials Updated September 19, 2016

Recorded as KATHLEEN KENEFICK, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Counselor (License #0006340 in CO)

🟢

Initial NPI Registration & Enumeration September 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174071179

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 19, 2016

Last Update: September 19, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1750 30th St # 631

Boulder, CO 803011029

Phone: 3038189624

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.