Individual provider Active NPI

Kimberly A Moberly, M.A.

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1427459460
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF79194 Issued in CA
Practice address
23181 La Cadena Dr Ste 101
Laguna Hills, CA 92653-1479
Phone
(760) 500-3325
Fax
(760) 800-4099
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF79194 CA Primary

Addresses

Primary practice location

23181 La Cadena Dr Ste 101
Laguna Hills, CA 92653-1479

Mailing address

21282 Bishop
Mission Viejo, CA 92692-4063
Phone (949) 525-3641

Other names 1

  • Kimberly A Fried Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809003143 CA Practitioner - Marriage and Family Therapist 1254879182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3150 Pio Pico Dr
Suite 105
Carlsbad, CA 92008-1951
Phone (760) 500-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
108015CAMDClinical Social Worker
IMF79194CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wave Professional Clinical Counselors, Inc. Marriage & Family Therapist CurrentSince May 26, 2024 Accepting new patients

Locations

3150 Pio Pico Dr
Ste 105
Carlsbad, CA 92008
Phone (760) 828-5300

23181 La Cadena Dr
Ste 101
Laguna Hills, CA 92653
Phone (949) 347-5234

314 S Melrose Dr
Ste 100
Vista, CA 92081
Phone (619) 752-4745

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1427459460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21282 BISHOP",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924063",
            "telephone_number": "949-525-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 LA CADENA DR STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531479",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERLY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FRIED",
            "middle_name": "A",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.