Kimberley Wessels
Individual provider Active NPI Marriage & Family Therapist · Hanford, CA
NPI 1639409279 · NPPES record last updated Jan 4, 2010
Key facts
- NPI
- 1639409279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF47840 (CA)
- Practice address
- 1393 Bailey St
Hanford, CA 93230-5922 - Phone
- (559) 582-4481
- Fax
- (559) 582-6547
- NPI assigned
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF47840 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF47840 | CA | Yes |
Addresses
Primary practice location
1393 Bailey St
Hanford, CA 93230-5922
Mailing address
1393 Bailey St
Hanford, CA 93230-5922
Phone (559) 582-4481
NPI Registry JSON
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1639409279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 BAILEY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305922",
"telephone_number": "559-582-4481",
"fax_number": "559-582-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 BAILEY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305922",
"telephone_number": "559-582-4481",
"fax_number": "559-582-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSELS",
"first_name": "KIMBERLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF47840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
- Hailey Olivia Weiser
- Susan Weldon
- Alondra Wences
- Rebecca Wesley
- Chris D Wessel
- Carole Mireille West
- Westcare California, Inc
- Westcare California, Inc
- Westcare California, Inc
- Westcare California, Inc
All providers in Hanford, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.