Elizabeth C Kimble

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17350 Issued in CA

Practice address

615 State St Unit B
Santa Barbara, CA 93101-3301

Phone

(650) 516-6319

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Psychotherapy & Integrative Health, a Marriage & Family the

  • Marriage & Family Therapist
  • Santa Barbara, CA
  • NPI 1023736782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1073339354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 115",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 STATE ST UNIT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013301",
            "telephone_number": "650-516-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "17350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jo-Marie Kim, AMFT
• Steven H Kim, DDS
• Sylvia H Kim, MD
• Lynn Mwendwa Kimathi
• Kimberly Uhles Hurvitz, MD Inc
• John T Kimble Jr.
• William N Kincannon, M.D.
• Troy Kindred, CPT
• Avery L King, BT
• Candice King

• Mental Health Counselor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.