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MS. KIMBERLY CHADWICK KODITEK MSW
NPI 1225312721
Counselor - Mental Health in Boulder, CO

Active since October 03, 2011PECOS Enrolled
1333 IRIS AVE, BOULDER, CO 80304(303) 443-8500 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kimberly Chadwick Koditek Msw NPPES

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

MS. KIMBERLY CHADWICK KODITEK MSW (NPI 1225312721) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (CSW1917) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225312721
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KIMBERLY CHADWICK KODITEKCredential: MSW
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226
Phone(303) 443-8500
Sole ProprietorNo
Enumeration DateOctober 3, 2011
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1225312721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · CSW1917
1333 IRIS AVE, Boulder, CO 80304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Chadwick Koditek Msw 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.

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.

CARLOS TRUJILLO
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 413-6212
GUILHERME ZAVASCHI
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
MS. REGINA CANNON REGISTERED PSYCHOTHE
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
AMANDA FIELDER
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CLARISSA MONET DUBOSE
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
BLAKE EDMOND
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
DR. KRISTINA F HINDERT MD
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 443-8500
CHERLYN WAGER B.A.
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304
Boulder County (303) 441-0592

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 Koditek's NPI number?

The NPI number for Kimberly Koditek is 1225312721. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Kimberly Koditek located?

Kimberly Koditek practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 443-8500.

What is Kimberly Koditek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Koditek enrolled in Medicare?

Yes. Kimberly Koditek is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Koditek accept?

Health plans from Providence Health Plan list Kimberly Koditek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Koditek was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.