Kimberly Anne Ayres
Individual provider Active NPI Marriage & Family Therapist · Wailuku, HI
NPI 1194387084 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1194387084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 959 (HI)
- Practice address
- 270 Hookahi St
Wailuku, HI 96793-1466 - Phone
- (808) 243-7001
- Fax
- (808) 243-7001
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Multi-Specialty | Current |
Accepting new patients |
| Potentia Family Therapy, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Locations
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 137875 | CA | |
| Marriage & Family Therapist | 106H00000X | 959 | HI | Yes |
Addresses
Primary practice location
270 Hookahi St
Wailuku, HI 96793-1466
Mailing address
270 Hookahi St
Wailuku, HI 96793-1466
Phone (808) 243-7001
Other providers in Wailuku, HI
- Mahina K Atenza
- Danielle Monique Aubert-Anderson
- Marie Simone Naima Audant
- Elizabeth Augustine
- Warren Victor Ayers
- Gavin Aysonwright
- B.C.P., Inc.
- B.C.P., Inc.
- B.C.P., Inc.
- Victoria Babushkina
All providers in Wailuku, HI · Marriage & Family Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.