Kimberly Dawn Kerlin, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52037 Issued in CA

Practice address

3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959

Phone

(510) 459-9246

NPI assigned

Jan 3, 2007

Last updated

Sep 3, 2016By 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

Opted out of Medicare

Yes, effective Feb 24, 2024 through Feb 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472860800000",
    "number": "1831256163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493959",
            "telephone_number": "510-459-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493959",
            "telephone_number": "510-459-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Hyun-Suk Kim, D.D.S.

• Marriage & Family Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.