Individual provider Active NPI

Kimberly Michele Jones, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1689934887
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC49959 Issued in CA
Practice address
2547 W Shaw Ave Ste 114
Fresno, CA 93711-3321
Phone
(559) 422-0394
Fax
(844) 449-0753
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC49959 CA Primary

Addresses

Primary practice location

2547 W Shaw Ave Ste 114
Fresno, CA 93711-3321

Mailing address

2547 W Shaw Ave Ste 114
Fresno, CA 93711-3321
Phone (559) 422-0394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508000599 CA Practitioner - Marriage and Family Therapist 8325565815 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2547 W Shaw Ave
Suite 114
Fresno, CA 93711-3321
Phone (559) 422-0394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC49959CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Hearts Counseling Center LLC Marriage & Family Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

2547 W Shaw Ave
Ste 114
Fresno, CA 93711
Phone (559) 422-0394

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1689934887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 W SHAW AVE STE 114",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113321",
            "telephone_number": "559-422-0394",
            "fax_number": "844-449-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 W SHAW AVE STE 114",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113321",
            "telephone_number": "559-422-0394",
            "fax_number": "844-449-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.