Active NPI
Kimberly Lynn Allen-Hardey, LMFT
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1093806119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 44614
- Practice address
- 8788 Elk Grove Blvd
Building 3 Suite 12D
Elk Grove, CA 95624-1766 - Phone
- (916) 718-8638
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 44614 | CA | Primary |
Addresses
Primary practice location
8788 Elk Grove Blvd
Building 3 Suite 12D
Elk Grove, CA 95624-1766
Mailing address
8788 Elk Grove Blvd
Building 3 Suite 12D
Elk Grove, CA 95624-1766
Phone (916) 718-8638
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 |
|---|---|---|---|
| MFC 44614 | CA | MD | Marriage & Family Therapist |
| 44614 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1093806119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD",
"address_2": "BUILDING 3 SUITE 12D",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241766",
"telephone_number": "916-718-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD",
"address_2": "BUILDING 3 SUITE 12D",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241766",
"telephone_number": "916-718-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN-HARDEY",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 44614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.