Kimberly Frey, LPCC #480

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC470 Issued in CA

Practice address

1530 Bulb Ave
Santa Cruz, CA 95062-3219

Phone

(831) 325-9049

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1932746351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950730375",
            "telephone_number": "831-325-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BULB AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623219",
            "telephone_number": "831-325-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "KIMBERLY",
        "credential": "LPCC #480",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian Fregoso
• Jose Antonio Fregoso Jr.
• Bella Mia Freire
• Lisa Jordan French
• Hannah G. Freund
• Jace Anthony Freyman, MHRS
• Michaela Estelle Frichner
• Genevieve Elizabeth Friedberg, MA
• Claire Katherine Friedman, MFT
• Daisy Friedman

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.