Kimberly Ann Dodd, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT140728 Issued in CA

Practice address

822 W 8TH St
Mishawaka, IN 46544-4847

Phone

(818) 200-9427

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 5, 2024 through Feb 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Village Church, Inc.

  • Mental Health Counselor
  • Burbank, CA
  • NPI 1477312403
  NPD Authorized official

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1831440171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 8TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444847",
            "telephone_number": "818-200-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 8TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444847",
            "telephone_number": "818-200-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 W Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915051541",
            "country_code": "US",
            "telephone_number": "818-200-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001654A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Dietz, LSW
• Autumn Dilts, BCBA
• Francoise M Dion, MD
• Teresa Marie Dobrzykowski, ANP
• Franklin Moncrief Dobson, M.D.
• Susan Marie Doepker, NP
• Dolce Vita Community Services LLC
• Laura Alana Singer Dolezal
• Donald Michael, MD, PC
• Joseph Doran, LSW

• Marriage & Family Therapist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.