Individual provider Active NPI

Kimberly Ann McKinney Tighe, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1255633624
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90743 Issued in CA
Practice address
1726 Tehama St
Redding, CA 96001-1615
Phone
(530) 953-8766
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 90743 CA Primary

Addresses

Primary practice location

1726 Tehama St
Redding, CA 96001-1615

Mailing address

1726 Tehama St
Redding, CA 96001-1615
Phone (530) 953-8766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410003536 CA Practitioner - Marriage and Family Therapist 1052759990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90743CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Recovery Services Clinical CurrentSince Nov 3, 2024 Accepting new patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients
County of Shasta CurrentSince Feb 7, 2024 Accepting new patients

Locations

2640 Breslauer Way
Redding, CA 96001
Phone (530) 225-5252

Organizations & group practices 3

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1255633624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 TEHAMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011615",
            "telephone_number": "530-953-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 TEHAMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011615",
            "telephone_number": "530-953-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY TIGHE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.