Active NPI
Kimberly Ann Ciardella, LMFT
- Marriage & Family Therapist
- El Dorado Hills, CA
National Provider Identifier
1073804076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT85413
- Practice address
- 895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406 - Phone
- (916) 538-1683
- NPI assigned
- Apr 25, 2011
- 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 | 65133 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT85413 | CA | Primary |
Addresses
Primary practice location
895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406
Mailing address
895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406
Phone (916) 538-1683
Other practice location 1
2750 Sutterville Rd
Sacramento, CA 95820-1024
Phone (916) 290-8138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65133 | CA | MD | Marriage & Family Therapist |
| LMFT85413 | CA | MD | Marriage & Family Therapist |
| 85413 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ciardella Therapy & Family Wellness, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
895 Embarcadero Dr
Ste 210
El Dorado Hills, CA 95762
Phone (916) 538-1683
Organizations & group practices 1
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.
-
dba The Path Wellness Center
- Marriage & Family Therapist
- El Dorado Hills, CA
- NPI 1366045213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1073804076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 EMBARCADERO DR STE 210",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957621406",
"telephone_number": "916-538-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 EMBARCADERO DR STE 210",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957621406",
"telephone_number": "916-538-1683"
}
],
"practiceLocations": [
{
"address_1": "2750 Sutterville Rd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201024",
"country_code": "US",
"telephone_number": "916-290-8138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIARDELLA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "65133",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT85413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
- Cameron Christian
- Dana Christiansen
- Samantha Christman
- CHW Medical Foundation (Mercy Medical Group, a Service of CHW Medical Foundation)
- Ciardella Therapy & Family Wellness, Inc. (The Path Wellness Center)
- Clark Dental a Professional Dental Corporation (Clark Dental General and Cosmetic dentistry)
- Reuben Justus Clark, DDS
- Amber Clay
- James Kirk Clopton, MD
- Taylor Raye Coate
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.