Individual provider Active NPI

Kim Simmonds, LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1912277153
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT89466 Issued in CA
Practice address
1840 S Gaffey St # 333
San Pedro, CA 90731-5324
Phone
(310) 936-4311
NPI assigned
Jan 5, 2012
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF64492 CA
Marriage & Family Therapist 106H00000X LMFT89466 CA Primary

Addresses

Primary practice location

1840 S Gaffey St # 333
San Pedro, CA 90731-5324

Mailing address

1840 S Gaffey St # 333
San Pedro, CA 90731-5324
Phone (310) 936-4311

Other practice location 1

5350 Machado Ln
Culver City, CA 90230-8800
Phone (310) 737-9393 ext. 435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF64492CAMDMarriage & Family Therapist
LMFT89466CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1912277153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S GAFFEY ST # 333",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315324",
            "telephone_number": "310-936-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S GAFFEY ST # 333",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315324",
            "telephone_number": "310-936-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Machado Ln",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902308800",
            "country_code": "US",
            "telephone_number": "310-737-9393 x435",
            "fax_number": "310-734-7944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "KIM",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF64492",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT89466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.