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KIMBERLY DAWN DE JONG LPCC
NPI 1932849296
Counselor in Fort Collins, CO

Active since April 01, 2022Opted out of Medicare · through Jun 12, 2028
1212 RAINTREE DR UNIT A2, FORT COLLINS, CO 80526(970) 889-8002 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Dawn De Jong Lpcc NPPES

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

KIMBERLY DAWN DE JONG LPCC (NPI 1932849296) is an individual counselor in Fort Collins, Colorado, licensed in Colorado (LPCC.0017932) and active in the NPI registry since April 2022. She has opted out of Medicare through June 12, 2028.

NPPES Registry Identity

NPI1932849296
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY DAWN DE JONGCredential: LPCC
Location Address1212 RAINTREE DR UNIT A2Fort Collins, CO 80526-1832
Mailing Address1212 Raintree Dr Unit A2Fort Collins, CO 80526-1832 · (970) 889-8002
Phone(970) 889-8002
Sole ProprietorYes
Enumeration DateApril 1, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1932849296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CO · LPCC.0017932
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1212 RAINTREE DR UNIT A2, Fort Collins, CO 80526
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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 Dawn De Jong Lpcc 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 June 12, 2026 through June 12, 2028.

Opt-Out Effective DateJune 12, 2026
Opt-Out In Effect ThroughJune 12, 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 De Jong's NPI number?

The NPI number for Kimberly De Jong is 1932849296. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Kimberly De Jong located?

Kimberly De Jong practices at 1212 Raintree Dr Unit A2, Fort Collins, CO 80526. The listed phone number is (970) 889-8002.

What is Kimberly De Jong's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly De Jong enrolled in Medicare?

No. Kimberly De Jong has opted out of Medicare through June 12, 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 De Jong was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.