Kimberly Adapon
Individual provider Active NPI Marriage & Family Therapist · Roseville, CA
NPI 1407680366 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1407680366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 158351 (CA)
- Practice address
- 1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052 - Phone
- (877) 412-8031
- NPI assigned
- Aug 31, 2024
- Reactivated
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158351 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Restoration Counseling Center | Marriage & Family Therapist | Current |
Accepting new patients |
| Wellness Together | Past |
Accepting new patients |
Locations
1925 Euclid Ave
San Diego, CA 92105
Phone (619) 648-1153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 158351 | CA | Yes |
Addresses
Primary practice location
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
Mailing address
1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052
Phone (877) 412-8031
Other providers in Roseville, CA
- Sallie O Adams
- Scott W. Adams
- Jeannette Anne Adamski-Church
- Brittany Adamson
- Courtney Denielle Adamson
- Lateefat Tiwalade Adele
- Mireille Dora Adelson
- Meira Adler
- Jeffrey Adorador
- Adult Neurology Specialists Inc
All providers in Roseville, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.