Kimberly Coleen Taylor, LMFT 93627

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

93627 Issued in CA

Practice address

17011 Beach Blvd Ste 900
Huntington Beach, CA 92647-5998

Phone

(949) 424-9681

NPI assigned

Jul 20, 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

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.

• Mind Thrive LLC

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1376273805
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1508096967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N. PACIFIC COAST HIGHWAY",
            "address_2": "#1112",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512667",
            "telephone_number": "949-424-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 BEACH BLVD STE 900",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475998",
            "telephone_number": "949-424-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "COLEEN",
        "credential": "LMFT 93627",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Miller Tat, ACNP, MHA
• Quincy Tathanhlong
• Dorothy P Taula-Filemu
• Taylor Consulting Psychological & Investigative Services Inc
• Elizabeth Taylor
• Michelle Taylor, PH.D.
• Taylors Loving Care LLC
• Nishan Tchekmedyian, MD
• Brigitta M Tedja
• George S Teer, PT

• Marriage & Family Therapist in Huntington Beach, CA
• Providers in Huntington 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 Jun 12, 2018; 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.