Kimberly Ladawn Avery, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90600 Issued in CA

Practice address

44285 Lowtree Ave
Lancaster, CA 93534-4170

Phone

(661) 341-3900

Fax

(661) 341-3904

NPI assigned

Mar 28, 2007

Last updated

Mar 6, 2018By the provider in NPPES

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Pathways Community Services LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1720225360
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1407975881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 BARREL OAK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310760",
            "telephone_number": "310-946-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44285 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344170",
            "telephone_number": "661-341-3900",
            "fax_number": "661-341-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "KIMBERLY",
        "middle_name": "LADAWN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie H Avalos
• Valery Christin Avalos
• Nucion Avent, CADC II
• Anthony D Avery
• Dimita Avery
• Apryl Michelle Avila
• Maria Luisa Avila, ACSW
• Rosalvo Misael Avila
• Tania Avila
• Vanessa L Avilez

• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, 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 Mar 6, 2018; 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.