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

Last updated

Jun 12, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Thrive LLC

  dba Mind Thrive Therapy

  • 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 Patosina 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.