KIMBERLY QUEZADA M.S., LMFT 99748
NPI 1013219229
Marriage & Family Therapist in San Bernardino, CA

Q: What is Kimberly Quezada's NPI number?

The NPI number for Kimberly Quezada is 1013219229. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Q: What is Kimberly Quezada's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Quezada was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 19, 2010PECOS Enrolled

460 S STODDARD AVE STE 1, SAN BERNARDINO, CA 92401(909) 882-7978 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Quezada M.s., Lmft 99748 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY QUEZADA M.S., LMFT 99748 (NPI 1013219229) is an individual marriage & family therapist in San Bernardino, California, licensed in California (99748) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013219229

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY QUEZADACredential: M.S., LMFT 99748

Location Address460 S STODDARD AVE STE 1San Bernardino, CA 92401-2039

Mailing AddressPo Box 4737Crestline, CA 92325-4737 · (714) 654-2613

Phone(909) 882-7978

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 19, 2010

Last NPPES UpdateApril 16, 2021

NPPES CertifiedApril 16, 2021

✔ NPI 1013219229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 99748

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

460 S STODDARD AVE STE 1, San Bernardino, CA 92401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Quezada M.s., Lmft 99748 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658849674

PECOS Enrollment IDI20260508000025

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY LLOYD DENISON

Counselor

460 S STODDARD AVE STE 1
SAN BERNARDINO, CA 92401

San Bernardino County (909) 882-7978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Quezada's NPI number?

The NPI number for Kimberly Quezada is 1013219229. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Kimberly Quezada located?

Kimberly Quezada practices at 460 S Stoddard Ave Ste 1, San Bernardino, CA 92401. The listed phone number is (909) 882-7978.

What is Kimberly Quezada's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kimberly Quezada enrolled in Medicare?

Yes. Kimberly Quezada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Quezada was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.