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KIMBERLY GENGLER LMFT
NPI 1306470083
Marriage & Family Therapist in San Rafael, CA

Active since March 02, 2020Opted out of Medicare · through Jan 1, 2028
1717 5TH AVE UNIT C, SAN RAFAEL, CA 94901(415) 617-9436 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Apr 25, 2022, Mar 2, 2020 (3 updates tracked since 2020).

About Kimberly Gengler Lmft NPPES

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

KIMBERLY GENGLER LMFT (NPI 1306470083) is an individual marriage & family therapist in San Rafael, California, licensed in California (132419) and active in the NPI registry since March 2020. She has opted out of Medicare through January 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306470083
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY GENGLERCredential: LMFT
Location Address1717 5TH AVE UNIT CSan Rafael, CA 94901-1810
Mailing Address22 Crestview DrSan Rafael, CA 94903-2862 · (415) 794-0153
Phone(415) 617-9436
Sole ProprietorYes
Enumeration DateMarch 2, 2020
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1306470083 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 · 132419
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.
1717 5TH AVE UNIT C, San Rafael, CA 94901
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Secondary Practice Locations 2

Location 11303 San Carlos AveSan Carlos, CA 94070-2317 · Phone (650) 394-5155
Location 276 San Pablo AveSan Rafael, CA 94903-4179 · Phone (831) 331-9202

Other Identifiers 1

Other132419CA · Board Of Behavioral Science

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 Gengler 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 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 Kimberly Gengler's NPI number?

The NPI number for Kimberly Gengler is 1306470083. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Kimberly Gengler located?

Kimberly Gengler practices at 1717 5th Ave Unit C, San Rafael, CA 94901. The listed phone number is (415) 617-9436.

What is Kimberly Gengler's specialty?

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

Is Kimberly Gengler enrolled in Medicare?

No. Kimberly Gengler 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 Kimberly Gengler was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.