Individual provider Active NPI

Kimberly Charlotte De la Vega, MA

  • Marriage & Family Therapist
  • Whittier, CA
National Provider Identifier
1932628443
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100730 Issued in CA
Practice address
10053 Whittwood Dr PO Box 1176
Ste a
Whittier, CA 90609
Phone
(714) 987-2274
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100730 CA Primary

Addresses

Primary practice location

10053 Whittwood Dr PO Box 1176
Ste a
Whittier, CA 90609

Mailing address

10053 Whittwood Dr PO Box 1176
Ste a
Whittier, CA 90609
Phone (714) 987-2274

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100730CAMDInterpreter

Practice roles

OrganizationSpecialtyStatusNew patients
De la Vega Counseling Services Marriage & Family Therapist CurrentSince Sep 1, 2022 Accepting new patients
The Priority Center Ending the Generational Cycle of Trauma Inc Mental Health PastSince Oct 1, 2019 Accepting new patients

Locations

14181 Yorba St
Ste 206
Tustin, CA 92780
Phone (310) 770-7315

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1932628443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10053 WHITTWOOD DR PO BOX 1176",
            "address_2": "STE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90609",
            "telephone_number": "714-987-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10053 WHITTWOOD DR PO BOX 1176",
            "address_2": "STE A",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90609",
            "telephone_number": "714-987-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA VEGA",
        "first_name": "KIMBERLY",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2025-05-21",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.