Active NPI
Kimberly Andre Fouche, LMFT
- Marriage & Family Therapist
- Ventura, CA
National Provider Identifier
1184048860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT112973
- Practice address
- 260 Maple CT Ste 250
Ventura, CA 93003-3571 - Phone
- (805) 769-4349
- NPI assigned
- Feb 14, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LMFT112973 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT112973 | CA | Primary |
Addresses
Primary practice location
260 Maple CT Ste 250
Ventura, CA 93003-3571
Mailing address
1129 Maricopa Hwy # B111
Ojai, CA 93023-3126
Phone (805) 889-5998
Other practice location 1
315 W Haley St
Suite 102
Santa Barbara, CA 93101-3471
Phone (805) 963-1086 ext. 1616
Other practice location 2
323 E Matilija St Ste 215
Ojai, CA 93023-2770
Phone (805) 889-5998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112973 | Other | CA | LMFT LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT112973 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1184048860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 MARICOPA HWY # B111",
"city": "OJAI",
"state": "CA",
"postal_code": "930233126",
"telephone_number": "805-889-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 MAPLE CT STE 250",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033571",
"telephone_number": "805-769-4349"
}
],
"practiceLocations": [
{
"address_1": "315 W Haley St",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931013471",
"country_code": "US",
"telephone_number": "805-963-1086 x1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 E Matilija St Ste 215",
"address_purpose": "LOCATION",
"city": "Ojai",
"state": "CA",
"postal_code": "930232770",
"country_code": "US",
"telephone_number": "805-889-5998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOUCHE",
"first_name": "KIMBERLY",
"middle_name": "ANDRE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LMFT112973",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT112973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT LICENSE NUMBER",
"identifier": "112973",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.