Active NPI
Kim Simmonds, LMFT
- Marriage & Family Therapist
- San Pedro, CA
National Provider Identifier
1912277153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT89466
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF64492 | CA | MD | Marriage & Family Therapist |
| LMFT89466 | CA | MD | Marriage & 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.