Individual provider Active NPI

Kimberly Akamine, M.S.

  • Marriage & Family Therapist
  • Fountain Valley, CA
National Provider Identifier
1831384650
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 20752 Issued in CA
Practice address
9550 Warner Ave
Suite 227
Fountain Valley, CA 92708-2800
Phone
(714) 624-2240
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 MFT 20752 CA Primary

Addresses

Primary practice location

9550 Warner Ave
Suite 227
Fountain Valley, CA 92708-2800

Mailing address

15155 Springdale St
Huntington Beach, CA 92649-1154
Phone (714) 624-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 10, 2025 through Jul 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT 20752CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1831384650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15155 SPRINGDALE ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491154",
            "telephone_number": "714-624-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE",
            "address_2": "SUITE 227",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082800",
            "telephone_number": "714-624-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAMINE",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 20752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.