Individual provider Active NPI

Kimberly Michelle Salmon

  • Mental Health Counselor
  • Roseville, CA
National Provider Identifier
1912223348
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
53299 Issued in CA
Practice address
214 Estates Dr Ste E
Roseville, CA 95678-2353
Phone
(916) 581-0054
Fax
(916) 244-0252
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 53299 CA Primary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 53299 CA

Addresses

Primary practice location

214 Estates Dr Ste E
Roseville, CA 95678-2353

Mailing address

214 Estates Dr Ste E
Roseville, CA 95678-2353
Phone (916) 581-0054

Other practice location 1

3330 Cameron Park Dr Ste 400
Cameron Park, CA 95682-7652
Phone (916) 581-0054

Other practice location 2

2260 Douglas Blvd Ste 150
Roseville, CA 95661-4273
Phone (916) 581-0054

Other identifiers 2

IdentifierTypeStateIssuer
844879614MedicaidCA
474351682MedicaidCA

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
I20240124001803 CA Practitioner - Marriage and Family Therapist 1355794579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53299CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Marriage and Family Therapy Corp CurrentSince Jan 1, 2024 Accepting new patients

Locations

3330 Cameron Park Dr
Ste 400
Cameron Park, CA 95682
Phone (916) 572-2844

214 Estates Dr
Ste E
Roseville, CA 95678
Phone (916) 299-8172

2260 Douglas Blvd
Ste 150
Roseville, CA 95661
Phone (916) 573-0379

401 Vernon St
Ste B
Roseville, CA 95678
Phone (916) 284-0091

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1912223348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-581-0054",
            "fax_number": "916-244-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE E",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-581-0054",
            "fax_number": "916-244-0252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Cameron Park Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827652",
            "country_code": "US",
            "telephone_number": "916-581-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2260 Douglas Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614273",
            "country_code": "US",
            "telephone_number": "916-581-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMON",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "53299",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844879614",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474351682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.