Individual provider Active NPI

Kimberly Vidoni, MFT

  • Marriage & Family Therapist
  • Dayton, NV
National Provider Identifier
1588196539
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4179 Issued in NV
Practice address
9 Retail Rd Ste 6
Dayton, NV 89403-6365
Phone
(775) 234-8830
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 9771194 ID
Marriage & Family Therapist 106H00000X 4179 NV Primary

Addresses

Primary practice location

9 Retail Rd Ste 6
Dayton, NV 89403-6365

Mailing address

9 Retail Rd Ste 6
Dayton, NV 89403-6365
Phone (775) 234-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9771194IDMDMarriage & Family Therapist
4179NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1588196539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RETAIL RD STE 6",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036365",
            "telephone_number": "775-234-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RETAIL RD STE 6",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036365",
            "telephone_number": "775-234-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDONI",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "9771194",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

Verify at the official NPI Registry.