KIMBERLY PRENDERGAST LMFT
NPI 1073638300
Marriage & Family Therapist in Oxnard, CA

Active since March 19, 2007Opted out of Medicare · through Aug 6, 2026
1911 WILLIAMS DR, OXNARD, CA 93036(805) 981-8460 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Prendergast Lmft NPPES

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

KIMBERLY PRENDERGAST LMFT (NPI 1073638300) is an individual marriage & family therapist in Oxnard, California and active in the NPI registry since March 2007. She has opted out of Medicare through August 6, 2026.

NPPES Registry Identity

NPI1073638300
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY PRENDERGASTCredential: LMFT
Location Address1911 WILLIAMS DROxnard, CA 93036-2612
Mailing Address1911 Williams DrOxnard, CA 93036-2612 · (805) 981-8460
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 3, 2008
NPI 1073638300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.

1911 WILLIAMS DR, Oxnard, CA 93036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kimberly Prendergast Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 6, 2024 through August 6, 2026.

Opt-Out Effective DateAugust 6, 2024
Opt-Out In Effect ThroughAugust 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker (Clinical)
1911 WILLIAMS DR, C/O OXNARD OPTIONS
OXNARD, CA 93036
Social Worker (Clinical)
1911 WILLIAMS DR
OXNARD, CA 93036
Marriage & Family Therapist
1911 WILLIAMS DR
OXNARD, CA 93036
Community/Behavioral Health
1911 WILLIAMS DR
OXNARD, CA 93036
Marriage & Family Therapist
1911 WILLIAMS DR, SUITE 200
OXNARD, CA 93036
Psychiatry & Neurology (Psychiatry)
1911 WILLIAMS DR
OXNARD, CA 93036
Social Worker (Clinical)
1911 WILLIAMS DR
OXNARD, CA 93036
Pharmacist (Psychiatric)
1911 WILLIAMS DR, SUITE 200
OXNARD, CA 93036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073638300, enumerated as an "individual" on March 19, 2007.

The provider is located at 1911 WILLIAMS DR OXNARD, CA 93036 and the phone number is (805) 981-8460.

Marriage & Family Therapist with taxonomy code 106H00000X.