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KIMBERLY LYNNE STATHAM LMFT
NPI 1194672584
Marriage & Family Therapist in Cerritos, CA

Active since March 13, 2026
17119 PARKVALLE AVE, CERRITOS, CA 90703(562) 357-3822 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Lynne Statham Lmft NPPES

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

KIMBERLY LYNNE STATHAM LMFT (NPI 1194672584) is an individual marriage & family therapist in Cerritos, California, licensed in California (132749) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1194672584
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY LYNNE STATHAMCredential: LMFT
Location Address17119 PARKVALLE AVECerritos, CA 90703-1027
Mailing Address17119 Parkvalle AveCerritos, CA 90703-1027 · (562) 357-3822
Phone(562) 357-3822
Sole ProprietorYes
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1194672584 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 · 132749
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.
17119 PARKVALLE AVE, Cerritos, CA 90703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Statham's NPI number?

The NPI number for Kimberly Statham is 1194672584. It was assigned to this individual provider in the NPPES registry on March 13, 2026.

Where is Kimberly Statham located?

Kimberly Statham practices at 17119 Parkvalle Ave, Cerritos, CA 90703. The listed phone number is (562) 357-3822.

What is Kimberly Statham's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Statham was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.