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KIMBERLY D FISEL M.A.
NPI 1780969113
Counselor - Mental Health in Boulder, CO

Active since October 17, 2011Opted out of Medicare · through May 4, 2028
947 LARAMIE BLVD, UNIT F, BOULDER, CO 80304(303) 918-9114 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly D Fisel M.a. NPPES

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

KIMBERLY D FISEL M.A. (NPI 1780969113) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since October 2011. She has opted out of Medicare through May 4, 2028.

NPPES Registry Identity

NPI1780969113
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY D FISELCredential: M.A.
Location Address947 LARAMIE BLVD, UNIT FBoulder, CO 80304-4737
Mailing Address947 Laramie Blvd., Unit FBoulder, CO 80304 · (303) 918-9114
Phone(303) 918-9114
Sole ProprietorYes
Enumeration DateOctober 17, 2011
✔ NPI 1780969113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
947 LARAMIE BLVD, Boulder, CO 80304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly D Fisel M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 4, 2026 through May 4, 2028.

Opt-Out Effective DateMay 4, 2026
Opt-Out In Effect ThroughMay 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Fisel's NPI number?

The NPI number for Kimberly Fisel is 1780969113. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Kimberly Fisel located?

Kimberly Fisel practices at 947 Laramie Blvd Unit F, Boulder, CO 80304. The listed phone number is (303) 918-9114.

What is Kimberly Fisel's specialty?

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

Is Kimberly Fisel enrolled in Medicare?

No. Kimberly Fisel has opted out of Medicare through May 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Fisel was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.