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DR. KATELYN TAYLOR KIRK-PROVENCHER PHD
NPI 1205653342
Psychologist - Clinical in Denver, CO

Active since September 20, 2024PECOS Enrolled
3520 W OXFORD AVE, DENVER, CO 80236(038) 667-0663 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, Oct 2, 2024, Sep 23, 2024 and 1 more (4 updates tracked since 2024).

About Dr. Katelyn Taylor Kirk-provencher Phd NPPES

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

DR. KATELYN TAYLOR KIRK-PROVENCHER PHD (NPI 1205653342) is an individual clinical provider in Denver, Colorado, licensed in Colorado (PSY.0006530) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205653342
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATELYN TAYLOR KIRK-PROVENCHERCredential: PHD
Location Address3520 W OXFORD AVEDenver, CO 80236-3108
Mailing Address3520 W Oxford AveDenver, CO 80236-3108 · (303) 866-7066
Phone(038) 667-0663
Sole ProprietorNo
Enumeration DateSeptember 20, 2024
Last NPPES UpdateJune 11, 20264 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1205653342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0006530
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY.0006530 (CO)
3520 W OXFORD AVE, Denver, CO 80236
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Katelyn Kirk Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katelyn Taylor Kirk-provencher Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Kirk-provencher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority
6.4 mi
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JAMES T MANIATIS CT1
Rehabilitation Counselor
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7375
RITA MARLENE SCHANTZ RT
Radiologic Technologist
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 987-4480
THE MOUNTAIN STAR CENTER
Community Based Residential Treatment Facility, Mental Illness
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7080
DR. MICHAEL ANTHONY GUTIERREZ M.D.
Internal Medicine
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7054
BARBARA JANE BADER
Technician, Pathology (Phlebotomy)
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7670
DR. JOSEPH ALEXANDER SOCHET DO, JD
Psychiatry & Neurology (Psychiatry)
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7394
COLORADO MENTAL HEALTH INSTITUTE FORT LOGAN
Psychiatric Unit
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7080
MELISSA DIANE MUNDER MT-BC, NMT, CPRP
Rehabilitation Practitioner
3520 W OXFORD AVE
DENVER, CO 80236
Denver County (303) 866-7599

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 Katelyn Kirk-provencher's NPI number?

The NPI number for Katelyn Kirk-provencher is 1205653342. It was assigned to this individual provider in the NPPES registry on September 20, 2024. The provider is also known as Dr. Katelyn Kirk Phd.

Where is Katelyn Kirk-provencher located?

Katelyn Kirk-provencher practices at 3520 W Oxford Ave, Denver, CO 80236. The listed phone number is (038) 667-0663.

What is Katelyn Kirk-provencher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Katelyn Kirk-provencher enrolled in Medicare?

Yes. Katelyn Kirk-provencher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Kirk-provencher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kirk-provencher reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Kirk-provencher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn Kirk-provencher was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.