KATHLEEN KENEFICK LPC NPI 1174071179

NPI Information

NPI: 1174071179
Provider Name: KATHLEEN KENEFICK, LPC
Classification: Counselor - 101YP2500X
Specialization: Professional
Entity Type: Individual
Address: 1750 30TH ST # 631
BOULDER, CO
ZIP 80301
Phone: (303) 818-9624

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NPI Details

Kathleen Kenefick, LPC is a professional counselor in Boulder, CO. Kathleen Kenefick, LPC NPI is 1174071179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1750 30TH ST # 631
BOULDER, CO
ZIP 80301-029
Phone: (303) 818-9624

The enumeration date for this NPI number is 9/19/2016 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0006340	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0006340	OTHER	COLORADO	LPC
2	B 4172	OTHER	COLORADO	BOARD CERTIFIED BIOFEEDBACK
3	18 002732	OTHER	NEW YORK	LICENSED MENTAL HEALTH COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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