Kim Simmons, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120766 Issued in CA

Practice address

17621 Irvine Blvd Ste 214
Tustin, CA 92780-3131

Phone

(949) 929-1177

NPI assigned

Sep 2, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1407460835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9973",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926581973",
            "telephone_number": "949-929-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17621 IRVINE BLVD STE 214",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803131",
            "telephone_number": "949-929-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28396 Yosemite Dr",
            "address_purpose": "LOCATION",
            "city": "Trabuco",
            "state": "CA",
            "postal_code": "926791138",
            "country_code": "US",
            "telephone_number": "949-929-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KIM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoana Silva Jimenez
• Nicolas Solorio Silva Jr., LMFT
• Sandi E Silva, DDS
• Todd J Silverberg, O.D.
• Sohail I. Simjee, DMD, INC.
• Michael Lee Simmons, LCSW, CDS
• Simona D. Kiss D.D.S. Professional Dental Corporation
• Martha D. Simoneau, MFT
• Danielle Simons, DPT
• Simplycare Professional Nursing Corp

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, 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 Oct 13, 2020; 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.