Individual provider Active NPI

Kimberly J Sanders

  • Mental Health Counselor
  • Auburn, CA
National Provider Identifier
1598120198
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT37203 Issued in CA
Practice address
128 East St
Auburn, CA 95603-5119
Phone
(530) 889-0178
Fax
(530) 889-8279
NPI assigned
Dec 23, 2015
Last updated
Dec 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT37203 CA Primary

Addresses

Primary practice location

128 East St
Auburn, CA 95603-5119

Mailing address

128 East St
Auburn, CA 95603-5119
Phone (530) 889-0178

Other names 1

  • Mrs. Kimberly Sanders Hamilton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT37203CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan a. Hamilton,PHD, Inc Past Accepting new patients
Carol Visser, PHD Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1598120198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT37203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HAMILTON",
            "middle_name": "SANDERS",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.