Individual provider Active NPI

Kimberly Marie Thurman, LMFT

  • Marriage & Family Therapist
  • Salida, CA
National Provider Identifier
1457693103
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111787 Issued in CA
Practice address
5222 Pirrone CT Ste 101a
Salida, CA 95368-9072
Phone
(925) 282-1778
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 111787 CA Primary

Addresses

Primary practice location

5222 Pirrone CT Ste 101a
Salida, CA 95368-9072

Mailing address

5222 Pirrone CT Ste 101a
Salida, CA 95368-9072
Phone (925) 282-1778

Other practice location 1

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 458-5264

Other identifiers 1

IdentifierTypeStateIssuer
111787OtherCABOARD OF BEHAVIORAL SCIENCES-LMFT

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
I20240910003545 CA Practitioner - Marriage and Family Therapist 6800336413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506

490 Post St
San Francisco, CA 94102-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111787CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Mewuk Indian Health Center, Inc CurrentSince Aug 5, 2024 Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients

Locations

18670 Carter St
Tuolumne, CA 95379
Phone (209) 928-4279

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Organizations & group practices 3

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1457693103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 PIRRONE CT STE 101A",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689072",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 PIRRONE CT STE 101A",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953689072",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953074562",
            "country_code": "US",
            "telephone_number": "209-458-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES-LMFT",
            "identifier": "111787",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CA

Sources for this page

Verify at the official NPI Registry.