Kimberlie Lane Carrington, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

16360 Roscoe Blvd
Van Nuys, CA 91406-1219

Phone

(818) 901-4830

NPI assigned

Sep 25, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Katrina Sanchez

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  • Van Nuys, CA
  • NPI 1073247870
  NPD
• San Fernando Valley Community Mental Health Center

  • Psychiatry Physician
  • Van Nuys, CA
  • NPI 1164427316
  NPD
• San Fernando Valley Community Mental Health Center

  • Psychiatry Physician
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  • NPI 1538299680
  NPD (past)
• San Fernando Valley Community Mental Health Center, Inc.

  • Psychiatry Physician
  • North Hollywood, CA
  • NPI 1912037060
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1831740356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 VICTORY BLVD STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 ROSCOE BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061219",
            "telephone_number": "818-901-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "KIMBERLIE",
        "middle_name": "LANE",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "000007321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Carrillo
• Maria Julia Carrillo, CATC-R
• Melina Nicole Carrillo
• Peter Ernest Carrillo
• Erica D Carrington, LMFT
• Marie Casalda
• James Casasola
• Ashley Casillas
• Diana Casillas
• Caspian Medical Clinic Corp

• Marriage & Family Therapist in Van Nuys, CA
• Providers in Van Nuys, 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 Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.