Individual provider Active NPI

Kimberly Frances Goehring

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1154008266
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT139877 Issued in CA
Practice address
214 Estates Dr Ste E
Roseville, CA 95678-2353
Phone
(916) 581-0054
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT139877 CA Primary

Addresses

Primary practice location

214 Estates Dr Ste E
Roseville, CA 95678-2353

Mailing address

214 Estates Dr Ste E
Roseville, CA 95678-2353
Phone (916) 581-0054

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

LicenseStateTypeSpecialty
AMFT139877CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Marriage and Family Therapy Corp CurrentSince Jan 4, 2024 Accepting new patients

Locations

214 Estates Dr
Ste E
Roseville, CA 95678
Phone (916) 299-8172

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1154008266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-581-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-581-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEHRING",
        "first_name": "KIMBERLY",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT139877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.