Kimberlee G Threeths, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48257 Issued in CA

Practice address

1155 Meridian Ave
Ste 207a
San Jose, CA 95125-4331

Phone

(408) 596-3850

NPI assigned

Apr 12, 2010

Last updated

Apr 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Therapyworks & Associates, Inc.

  dba TherapyWorks of Los Gatos

  • Marriage & Family Therapist
  • Los Gatos, CA
  • NPI 1790176642
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1093031361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MERIDIAN AVE",
            "address_2": "STE 207A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254331",
            "telephone_number": "408-596-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MERIDIAN AVE",
            "address_2": "STE 207A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254331",
            "telephone_number": "408-596-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREETHS",
        "first_name": "KIMBERLEE",
        "middle_name": "G",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Thornton, CADC II
• Jeremy Douglas Thorp
• Saolynath Thou
• June Marie Threadgould
• Alyssa Threet
• Thrifty Payless Inc (Rite Aid Pharmacy 05983)
• Thrifty Payless Inc (Rite Aid Pharmacy 05992)
• Thrifty Payless Inc (Rite Aid Pharmacy 05988)
• Thrifty Payless Inc (Rite Aid Pharmacy 05985)
• Thrifty Payless Inc (Rite Aid Pharmacy 05987)

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.