Active NPI
Kimberly Salyer, LMFT
- Mental Health Counselor
- Tracy, CA
National Provider Identifier
1740742238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 96346
- Practice address
- 1540 Tahoe Cir
Tracy, CA 95376-8904 - Phone
- (909) 702-7934
- NPI assigned
- Apr 3, 2019
- 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 | 96346 | CA | Primary |
Addresses
Primary practice location
1540 Tahoe Cir
Tracy, CA 95376-8904
Mailing address
1540 Tahoe Cir
Tracy, CA 95376-8904
Phone (909) 702-7934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96346 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1740742238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 TAHOE CIR",
"city": "TRACY",
"state": "CA",
"postal_code": "953768904",
"telephone_number": "909-702-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 TAHOE CIR",
"city": "TRACY",
"state": "CA",
"postal_code": "953768904",
"telephone_number": "909-702-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALYER",
"first_name": "KIMBERLY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2022-03-05",
"certification_date": "2021-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "96346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
- Hala Saleem, M.D.
- Kainat Saleem
- Clair Salib, AMFT
- Salman S. Razi, MD Inc
- Lyudmila Vladimirovna Salomatina, M.D.
- Doreen Ann Samelson, EDD, MSCP
- Anukaran Samra, DDS
- San Joaquin County Behavioral Health Services (SJC-MHS-HEART Homeless Engagement & Response Team Tracy)
- San Joaquin County Behavioral Health Services (San Joaquin County MH Services Tracy Clinic)
- San Joaquin County CCS (Tracy Mtu)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.