Kimberly Dawn Ross, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT103276 Issued in CA

Practice address

1646 Ferry St
Anderson, CA 96007-3314

Phone

(305) 378-7060

NPI assigned

Oct 20, 2014

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cascade Union Elementary School District

  • Local Education Agency (LEA)
  • Anderson, CA
  • NPI 1952586596
  NPD (past)
• Steps to Tomorrow

  • Mental Health Counselor
  • Redding, CA
  • NPI 1083108997
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1487058483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 MILL ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073226",
            "telephone_number": "530-378-7000",
            "fax_number": "530-378-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 FERRY ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073314",
            "telephone_number": "305-378-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Balls Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "CA",
            "postal_code": "960073537",
            "country_code": "US",
            "telephone_number": "530-378-7030 x7122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT103276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "LMFT103276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Right Road Recovery Programs, Inc
• Joshua Joe Rogers
• Michael James Rogers, LVN
• Ryan Scott Rogers, D.C.
• Lothar Rosin, B.PHARM
• Tyler Rushing
• Josh J Ruth
• Safeway Inc (Safeway Pharmacy #0273)
• Jordan James Sair
• Roberta Ann Samples, MSN, APRN, FNP-BC

• Marriage & Family Therapist in Anderson, CA
• Providers in Anderson, 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 Oct 15, 2024; 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.