Kimberly Lynn Kraemer McHenry, M.A.; IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 55808 Issued in CA

Practice address

16940 Highway 14
Suite F
Mojave, CA 93501-1238

Phone

(661) 824-5020

Fax

(661) 824-5026

NPI assigned

Mar 19, 2008

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Lynn Kraemer Former name

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1427229285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16940 HIGHWAY 14",
            "address_2": "SUITE F",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 HIGHWAY 14",
            "address_2": "SUITE F",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011238",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER MCHENRY",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A.; IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 55808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KRAEMER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "M.A.;IMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Mojave, CA
• Providers in Mojave, 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 Jun 2, 2009; 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.