KIMBERLY FANNING-SHILES LMFT
NPI 1063867737
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
7365 CARNELIAN ST, STE. 202, RANCHO CUCAMONGA, CA 91730(909) 376-5125 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2018, Apr 11, 2017, Mar 4, 2017 (3 updates tracked since 2017).

About Kimberly Fanning-shiles Lmft NPPES

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

KIMBERLY FANNING-SHILES LMFT (NPI 1063867737) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (98512) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063867737
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY FANNING-SHILESCredential: LMFT
Location Address7365 CARNELIAN ST, STE. 202Rancho Cucamonga, CA 91730-1158
Mailing Address7365 Carnelian St, Ste. 202Rancho Cucamonga, CA 91730-1158 · (909) 376-5125
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 29, 2016
Last NPPES UpdateJuly 17, 20183 updates tracked since enumeration
NPI 1063867737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 98512
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF 80277 (CA)
7365 CARNELIAN ST, Rancho Cucamonga, CA 91730

Secondary Practice Location 1

Location 1517 N Mountain Ave Ste 129Upland, CA 91786-5016 · Phone (909) 376-5125 · Fax (909) 578-0369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Fanning-shiles Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587182258
PECOS Enrollment IDI20250516000387
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 20

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

Chiropractor
7365 CARNELIAN ST, STE. 101
RANCHO CUCAMONGA, CA 91730
Private Vehicle
7365 CARNELIAN ST, SUITE 222
RANCHO CUCAMONGA, CA 91730
Dermatology
7365 CARNELIAN ST, STE #137
RANCHO CUCAMONGA, CA 91730
Dentist (General Practice)
7365 CARNELIAN ST, SUITE 111
RANCHO CUCAMONGA, CA 91730
Home Health
7365 CARNELIAN ST, SUITE 113
RANCHO CUCAMONGA, CA 91730
Home Health
7365 CARNELIAN ST, 116A
RANCHO CUCAMONGA, CA 91730
Hospice Care, Community Based
7365 CARNELIAN ST, SUITE 214
RANCHO CUCAMONGA, CA 91730
Dermatology
7365 CARNELIAN ST, STE #137
RANCHO CUCAMONGA, CA 91730

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 Fanning-shiles's NPI number?

The NPI number for Kimberly Fanning-shiles is 1063867737. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Kimberly Fanning-shiles located?

Kimberly Fanning-shiles practices at 7365 Carnelian St Ste. 202, Rancho Cucamonga, CA 91730. The listed phone number is (909) 376-5125.

What is Kimberly Fanning-shiles's specialty?

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

Is Kimberly Fanning-shiles enrolled in Medicare?

Yes. Kimberly Fanning-shiles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Fanning-shiles was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.