Active NPI
Kimberly A. Meyer, LMFT
- Marriage & Family Therapist
- Palm Springs, CA
National Provider Identifier
1639208796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT33606
- Practice address
- 1111 E Tahquitz Canyon Way
Suite 209
Palm Springs, CA 92262-6788 - Phone
- (760) 250-0867
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT33606 | CA | Primary |
Addresses
Primary practice location
1111 E Tahquitz Canyon Way
Suite 209
Palm Springs, CA 92262-6788
Mailing address
PO Box 8422
Palm Springs, CA 92263-6422
Phone (760) 250-0867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-8160067 | Other | CA | FEDERAL TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT33606 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1639208796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8422",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922636422",
"telephone_number": "760-250-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E TAHQUITZ CANYON WAY",
"address_2": "SUITE 209",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626788",
"telephone_number": "760-250-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "KIMBERLY",
"middle_name": "A.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT33606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "20-8160067",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.