Active NPI
Kimberly Ann Scott, MFT
- Marriage & Family Therapist
- Granada Hills, CA
National Provider Identifier
1942546619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC21184
- Practice address
- 17402 Chatsworth Street
Suite 104
Granada Hills, CA 91344 - Phone
- (818) 906-0406
- Fax
- (818) 906-1566
- NPI assigned
- Dec 27, 2012
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC21184 | CA | Primary |
Addresses
Primary practice location
17402 Chatsworth Street
Suite 104
Granada Hills, CA 91344
Mailing address
25834 Browning Place
Stevenson Ranch, CA 91381
Phone (818) 309-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC21184 | CA | MD | Marriage & Family Therapist |
| 21184 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1942546619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25834 BROWNING PLACE",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "91381",
"telephone_number": "818-309-7780",
"fax_number": "661-670-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17402 CHATSWORTH STREET",
"address_2": "SUITE 104",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-906-0406",
"fax_number": "818-906-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-27",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC21184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
- Michael Schless
- Joy Schollmeier
- Janet Y. Schrodi, D.M.D., M.P.H.
- Ben Schwartzman
- Karen Lee Scott, REGISTERED NURSE
- Season Luxury Rehabilitation Centers (Seasons Addiction Treatment Center DBA)
- Michelle Sedeno
- Seersoft (CA Rehabilitation Specialist)
- Nardine Seif, PHARMACIST
- Senior Congregate Living, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.