Kimberly Michelle Gibbs, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39361 Issued in CA

Practice address

6621 E Pacific Coast Hwy
Suite 220
Long Beach, CA 90803-4200

Phone

(562) 896-4694

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Balanced Waters Family Therapy, Inc.

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1659019438
  NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1508000886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY",
            "address_2": "SUITE 220",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034200",
            "telephone_number": "562-896-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 E PACIFIC COAST HWY",
            "address_2": "SUITE 220",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034200",
            "telephone_number": "562-896-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Janae Giambone, LCSW
• Mary D Giammona, MD
• Daniel Leon Gianella, MD
• Heather E Gibb, M.A.
• Hannah Rose Wilson Gibbs, APRN
• Rachel Gibbs
• Alicia Gibson
• John Gibson
• Meggan Gibson
• Nicole Dionne Gibson, LMFT

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, 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 Apr 29, 2009; 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.