Active NPI
Kimberly Ann Gaines, M.A.
- Marriage & Family Therapist
- Murrieta, CA
National Provider Identifier
1427217421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT36158
- Practice address
- 39755 Murrieta Hot Springs Road
Suite D160
Murrieta, CA 92563 - Phone
- (951) 821-0557
- Fax
- (951) 672-1015
- NPI assigned
- Jun 4, 2008
- Last updated
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | MFT36158 | CA | Primary |
Addresses
Primary practice location
39755 Murrieta Hot Springs Road
Suite D160
Murrieta, CA 92563
Mailing address
28039 Scott Road
Suite D246
Murrieta, CA 92563
Phone (951) 821-0557
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT36158 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1427217421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28039 SCOTT ROAD",
"address_2": "SUITE D246",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92563",
"telephone_number": "951-821-0557",
"fax_number": "951-672-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39755 MURRIETA HOT SPRINGS ROAD",
"address_2": "SUITE D160",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92563",
"telephone_number": "951-821-0557",
"fax_number": "951-672-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT36158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
- G.R.I.T.S. Collective a Marriage and Family Therapy Corporation (G.R.I.T.S. Collective)
- Michele Gaddis, SLP
- Rahul Anil Gaglani, M.D.
- Sasha Chhabria Gaglani, M.D.
- Hongyu Gai, DMD
- Pamela Ann Gal
- Steven F Galarza, DO
- Jonathan P Gale, DO
- Galen Inpatient Physicians Inc (Vituity)
- Marlena Francesca Galippo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.