Individual provider Active NPI

Kim Barton Phillips, MS, MFT

  • Marriage & Family Therapist
  • Rancho Mirage, CA
National Provider Identifier
1255443982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37205 Issued in CA
Practice address
42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312
Phone
(760) 861-6448
Fax
(760) 568-0228
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC37205 CA Primary

Addresses

Primary practice location

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312

Mailing address

79822 Barcelona Dr
La Quinta, CA 92253-8809
Phone (760) 861-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC37205CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard J. Weston, PH.D., a Psychological Corporation PastSince Feb 2, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255443982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79822 BARCELONA DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538809",
            "telephone_number": "760-861-6448",
            "fax_number": "760-568-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-861-6448",
            "fax_number": "760-568-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIM",
        "middle_name": "BARTON",
        "name_prefix": "Ms.",
        "credential": "MS, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.