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

Q: What is Kimberly Prendergast's NPI number?

The NPI number for Kimberly Prendergast is 1073638300. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Kimberly Prendergast's specialty?

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

Q: Is Kimberly Prendergast enrolled in Medicare?

No. Kimberly Prendergast has opted out of Medicare through August 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since March 19, 2007Opted out of Medicare · through Aug 6, 2028

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: November 01, 2026.

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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, 2028.

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

Phone(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

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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, 2028.

Opt-Out Effective DateAugust 6, 2024

Opt-Out In Effect ThroughAugust 6, 2028Opt-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.

BRANDEE ELIZABETH HERRERA LCSW

Social Worker (Clinical)