Active NPI
Kimberli Law, MFT INTERN
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1689847618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF42231
- Practice address
- 83 E Shaw Ave Ste 100
Fresno, CA 93710-7616 - Phone
- (559) 439-5437
- Fax
- (559) 439-5411
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF42231 | CA | Primary |
Addresses
Primary practice location
83 E Shaw Ave Ste 100
Fresno, CA 93710-7616
Mailing address
7475 N Palm Ave Ste 107
Fresno, CA 93711-5763
Phone (559) 439-5437
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 |
|---|---|---|---|
| IMF42231 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1689847618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7475 N PALM AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115763",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 E SHAW AVE STE 100",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107616",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "KIMBERLI",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF42231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.