Shelley Dawn Kimbrell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

151076 Issued in CA

Practice address

49370 Road 426 Ste B
Oakhurst, CA 93644-9052

Phone

(559) 641-6321

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2024By the provider in NPPES

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Family Counseling ServicesGroup PAC ID 4789025743, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Family Counseling Services

  • Mental Health Counselor
  • Oakhurst, CA
  • NPI 1033484639

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Cornerstone Family Counseling Services

  • Marriage & Family Therapist
  • Mariposa, CA
  • NPI 1972478964
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1912662164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29564 YOSEMITE SPRINGS PARKWAY",
            "address_2": "PMB34",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "93614",
            "telephone_number": "559-641-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49370 ROAD 426 STE B",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449052",
            "telephone_number": "559-641-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "SHELLEY",
        "middle_name": "DAWN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151076",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abyna Kalladanthyil, PHARMD
• Hannah Joye Kaplan, P.T., M.P.T., D.P.T.
• Jasleen Kaur
• Gyan Krishna Kayastha, MD
• Theresa Wagner Kennedy, LCSW
• Kings View Corporation (Kings View Community Services - Oakhurst)
• Karen Kosarowich, N. P.
• Victoria Kubal, LMFT, BCBA
• Cristina Landeros
• Alison Rose Lansing, LMFT

• Marriage & Family Therapist in Oakhurst, CA
• Providers in Oakhurst, 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 Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.