Kimberly Lynne Statham, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132749 Issued in CA

Practice address

17119 Parkvalle Ave
Cerritos, CA 90703-1027

Phone

(562) 357-3822

NPI assigned

Mar 13, 2026

Last updated

Mar 13, 2026By 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1194672584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17119 PARKVALLE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031027",
            "telephone_number": "562-357-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17119 PARKVALLE AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031027",
            "telephone_number": "562-357-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHAM",
        "first_name": "KIMBERLY",
        "middle_name": "LYNNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Cerritos, CA
• Providers in Cerritos, 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 Mar 13, 2026; 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.