Individual provider Active NPI

Kimberley Dorantes, LMFT

  • Marriage & Family Therapist
  • Yorba Linda, CA
National Provider Identifier
1770596603
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41675 Issued in CA
Practice address
18200 Yorba Linda Blvd Ste 106
Yorba Linda, CA 92886-4006
Phone
(714) 646-8034
Fax
(714) 492-8264
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 MFC 41675 CA Primary

Addresses

Primary practice location

18200 Yorba Linda Blvd Ste 106
Yorba Linda, CA 92886-4006

Mailing address

18200 Yorba Linda Blvd Ste 111
Yorba Linda, CA 92886-4043
Phone (714) 646-8034

Other names 1

  • Kimberley Kelpin Former name

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
I20231214001183 CA Practitioner - Marriage and Family Therapist 3274982335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiron Psychological IncGroup PAC ID 9234496308, 15 clinicians

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Suite 106
Yorba Linda, CA 92886-4006
Phone (714) 646-8034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 41675CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron Psychological, Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 106
Yorba Linda, CA 92886
Phone (714) 646-8034

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1770596603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD STE 111",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864043",
            "telephone_number": "714-646-8034",
            "fax_number": "714-492-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD STE 106",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864006",
            "telephone_number": "714-646-8034",
            "fax_number": "714-492-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORANTES",
        "first_name": "KIMBERLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "KELPIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.