Kimberly Harris, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130413 Issued in CA

Practice address

28 Cherry St
Petaluma, CA 94952-2168

Phone

(707) 238-3704

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1669842878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHERRY ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522168",
            "telephone_number": "707-238-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHERRY ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522168",
            "telephone_number": "707-238-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Los Guilicos Rd.",
            "address_2": "Dept. H",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "95409",
            "country_code": "US",
            "telephone_number": "916-698-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 Napa Valley Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945586216",
            "country_code": "US",
            "telephone_number": "707-339-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIMBERLY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103117",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Harding
• Tammy Marie Harding
• Arthur Harnisch
• Annabel Lee Fischer Harper
• Kara Harris, RDN, CSG
• Lindsey Harris, OTR
• Rachel Elizabeth Harris
• Ronald Lee Harris, O.D.
• Sheryl Harris
• Austin Tehuiarii Hartford, DMD

• Marriage & Family Therapist in Petaluma, CA
• Providers in Petaluma, 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 Dec 12, 2022; 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.