Organization Active NPI

Kimberly Zevallos Family Therapy, Inc.

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1487270898
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KIMBERLY ZEVALLOS FAMILY THERAPY, INC.
Practice address
145 Hodencamp Rd Ste 204
Thousand Oaks, CA 91360-5817
Phone
(818) 639-2254
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Kimberly Zevallos, LMFTNPI 1093041527
Title
Director
Phone
(805) 410-4541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

145 Hodencamp Rd Ste 204
Thousand Oaks, CA 91360-5817

Mailing address

145 Hodencamp Rd Ste 204
Thousand Oaks, CA 91360-5817
Phone (805) 410-4541

National Provider Directory

National Provider Directory

Locations

145 Hodencamp Rd
Ste 204
Thousand Oaks, CA 91360
Phone (818) 324-0423

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1487270898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HODENCAMP RD STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605817",
            "telephone_number": "805-410-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HODENCAMP RD STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605817",
            "telephone_number": "818-639-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ZEVALLOS FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "ZEVALLOS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-410-4541",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.