Kimberly Hunkle, MFT

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

AMFT113175 Issued in CA

Practice address

4645 E Anaheim St
Long Beach, CA 90804-3122

Phone

(714) 478-0975

NPI assigned

May 11, 2020

Last updated

May 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dee's House

  • Substance Abuse Rehabilitation Facility
  • Fountain Valley, CA
  • NPI 1184921710
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1710509807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18886 SANTA MARTA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086230",
            "telephone_number": "714-478-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043122",
            "telephone_number": "714-478-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18886 Santa Marta St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086230",
            "country_code": "US",
            "telephone_number": "713-374-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNKLE",
        "first_name": "KIMBERLY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "AMFT113175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Courtney Humphreys
• Christine Marie Humphries
• Mao Hun
• Putheavy Hun
• Amy Jo Hunerdosse, LCSW
• Dave Lynne Hunsaker, RKT
• Carol Lillian Hunsinger, NP
• Timothy Paul Hunt-Gibbon, MSW
• Holly A Hunt, PH.D.
• Holly Ann Hunt, LMFT

• Counseling Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.