Active NPI
Kimberly Ann Cherry, LMFT
- Marriage & Family Therapist
- Brookline, MA
National Provider Identifier
1063650596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1680
- Practice address
- 1371 Beacon St
Brookline, MA 02446-4905 - Phone
- (617) 232-2436
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1680 | MA | Primary |
| Marriage & Family Therapist | 106H00000X | 0070 | KY |
Addresses
Primary practice location
1371 Beacon St
Brookline, MA 02446-4905
Mailing address
1371 Beacon St Ste 304
Brookline, MA 02446-4965
Other practice location 1
1269 Beacon St
Brookline, MA 02446-5248
Phone (617) 232-1303 ext. 0326
Other practice location 2
1900 S 7th St
Louisville, KY 40208-1606
Phone (502) 589-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | MA | MD | Marriage & Family Therapist |
| 0070 | KY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063650596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 BEACON ST STE 304",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464905",
"telephone_number": "617-232-2436"
}
],
"practiceLocations": [
{
"address_1": "1269 Beacon St",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024465248",
"country_code": "US",
"telephone_number": "617-232-1303 x0326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 S 7th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402081606",
"country_code": "US",
"telephone_number": "502-589-8600",
"fax_number": "502-589-8771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERRY",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1680",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "0070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.