MRS. KIMBERLY ANNE WORSHAM LPC
NPI 1134840275
Counselor - Professional in Evergreen, CO

Active since September 07, 2022PECOS EnrolledAccepts Medicare Assignment
31207 KEATS WAY STE 202, EVERGREEN, CO 80439(303) 425-0300 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Feb 3, 2025, Aug 17, 2023 and 1 more (4 updates tracked since 2022).

About Mrs. Kimberly Anne Worsham Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANNE WORSHAM LPC (NPI 1134840275) is an individual professional provider in Evergreen, Colorado, licensed in Colorado (LPC.0021328) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134840275
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIMBERLY ANNE WORSHAMCredential: LPC
Location Address31207 KEATS WAY STE 202Evergreen, CO 80439-2220
Mailing Address31207 Keats Way Ste 202Evergreen, CO 80439-2220 · (303) 425-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2022
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1134840275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0021328
31207 KEATS WAY STE 202, Evergreen, CO 80439

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Anne Worsham Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406389410
PECOS Enrollment IDI20241030000105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Clinic/Center (Mental Health (Including Community Mental Health Center))
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Clinic/Center (Rehabilitation, Substance Use Disorder)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Counselor (Professional)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Counselor (Professional)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Counselor (Professional)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Social Worker (Clinical)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439
Social Worker (Clinical)
31207 KEATS WAY STE 202
EVERGREEN, CO 80439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Worsham's NPI number?

The NPI number for Kimberly Worsham is 1134840275. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Kimberly Worsham located?

Kimberly Worsham practices at 31207 Keats Way Ste 202, Evergreen, CO 80439. The listed phone number is (303) 425-0300.

What is Kimberly Worsham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Worsham enrolled in Medicare?

Yes. Kimberly Worsham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Worsham was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.