Kimmil Hollis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108364 Issued in CA

Practice address

4696 Green Pine LN
Paso Robles, CA 93446-4100

Phone

(909) 368-9796

NPI assigned

Feb 17, 2015

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007
  Medicare reassignment NPD

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1487045043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 GREEN PINE LN",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464100",
            "telephone_number": "909-368-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 GREEN PINE LN",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464100",
            "telephone_number": "909-368-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W West Covina Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902946",
            "country_code": "US",
            "telephone_number": "626-974-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KIMMIL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hernandez, DPT
• Michael Herrick
• Sheri Shaffer Hewitt, MFT
• Daniel Hile III, O.D.
• Jene Nicole Hinton-Railsback
• Danielle Holmes, PT
• Jennifer Ruth Fox Holohan, PA-C
• Chloe L'Anee Holstine, DPT
• Horizon Transport
• Housing Authority of San Luis Obispo

• Marriage & Family Therapist in Paso Robles, CA
• Providers in Paso Robles, 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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.