1. Home
  2. Directory
  3. California
  4. San Jose
  5. Marriage Family Therapist
  6. NPI Profile

KIMBERLEE G THREETHS MFT
NPI 1093031361
Marriage & Family Therapist in San Jose, CA

Active since April 12, 2010Opted out of Medicare · through Jan 1, 2028
1155 MERIDIAN AVE, STE 207A, SAN JOSE, CA 95125(408) 596-3850 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kimberlee G Threeths Mft NPPES

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

KIMBERLEE G THREETHS MFT (NPI 1093031361) is an individual marriage & family therapist in San Jose, California, licensed in California (48257) and active in the NPI registry since April 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1093031361
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLEE G THREETHSCredential: MFT
Location Address1155 MERIDIAN AVE, STE 207ASan Jose, CA 95125-4331
Mailing Address1155 Meridian Ave, Ste 207aSan Jose, CA 95125-4331 · (408) 596-3850
Phone(408) 596-3850
Sole ProprietorYes
Enumeration DateApril 12, 2010
✔ NPI 1093031361 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 · 48257
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.
1155 MERIDIAN AVE, San Jose, CA 95125
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberlee G Threeths Mft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Kimberlee Threeths's NPI number?

The NPI number for Kimberlee Threeths is 1093031361. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Kimberlee Threeths located?

Kimberlee Threeths practices at 1155 Meridian Ave Ste 207A, San Jose, CA 95125. The listed phone number is (408) 596-3850.

What is Kimberlee Threeths's specialty?

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

Is Kimberlee Threeths enrolled in Medicare?

No. Kimberlee Threeths has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberlee Threeths was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.