Provider Demographics
NPI:1821078122
Name:TOMPKINS, KENT A (LPC (C0))
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:A
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:LPC (C0)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 SCOTCH PINE CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3924
Mailing Address - Country:US
Mailing Address - Phone:970-626-3333
Mailing Address - Fax:970-776-8124
Practice Address - Street 1:2216 SCOTCH PINE CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3924
Practice Address - Country:US
Practice Address - Phone:970-626-3333
Practice Address - Fax:970-776-8124
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO949101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO949OtherLICENSED PROFESSIONAL COUNSELOR
CO80184OtherROCKY MOUNTAIN HEALTH PLANS PROVIDER
CO80184OtherROCKY MOUNTAIN HEALTH PLANS PROVIDER