MICHELE KIRK MFT
NPI 1164746012
Marriage & Family Therapist in San Mateo, CA
About Michele Kirk Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE KIRK MFT (NPI 1164746012) is an individual marriage & family therapist in San Mateo, California, licensed in California (MFT 39585) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michele Kirk Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN MATEO, CA 94402
SAN MATEO, CA 94402
SAN MATEO, CA 94402
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 Michele Kirk's NPI number?
The NPI number for Michele Kirk is 1164746012. It was assigned to this individual provider in the NPPES registry on March 22, 2010.
Where is Michele Kirk located?
Michele Kirk practices at 1720 S Amphlett Blvd Suite 220-D, San Mateo, CA 94402. The listed phone number is (650) 655-2103.
What is Michele Kirk's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Michele Kirk enrolled in Medicare?
Yes. Michele Kirk is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michele Kirk was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michele Kirk, MFT · NPI 1164746012
Marriage & Family Therapist provider in San Mateo, California. Individual provider, active in the CMS NPPES registry since March 22, 2010.
## Identity
- **NPI:** 1164746012 (Entity type: Individual)
- **Enumerated:** March 22, 2010
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFT 39585 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1720 S AMPHLETT BLVD, SUITE 220-D, San Mateo, CA 94402-2702
- **Phone:** (650) 655-2103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164746012) · Data from the CMS NPPES public registry.