Active NPI
Kimberly Lyles
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1326722539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129738
- Practice address
- 8788 Elk Grove Blvd Ste M
Elk Grove, CA 95624-1768 - Phone
- (916) 956-0436
- NPI assigned
- Jun 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 129738 | CA | Primary |
Addresses
Primary practice location
8788 Elk Grove Blvd Ste M
Elk Grove, CA 95624-1768
Mailing address
PO Box 581952
Elk Grove, CA 95758-0033
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage and Family Therapy for the Integration of Healing Counselin | Current | Accepting new patients |
Locations
8788 Elk Grove Blvd
Ste M
Elk Grove, CA 95624
Phone (916) 284-8336
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.
-
dba The Center for Integrative Healing
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elk Grove, CA
- NPI 1861133779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1326722539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581952",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957580033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD STE M",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241768",
"telephone_number": "916-956-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.