KIMBERLY DIANE YOUNG
NPI 1356926729
Marriage & Family Therapist in San Diego, CA

Q: What is Kimberly Young's NPI number?

The NPI number for Kimberly Young is 1356926729. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Q: What is Kimberly Young's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Young was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 16, 2021PECOS Enrolled

4445 EASTGATE MALL STE 200, SAN DIEGO, CA 92121(503) 625-0152 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Diane Young NPPES

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

KIMBERLY DIANE YOUNG (NPI 1356926729) is an individual marriage & family therapist in San Diego, California, licensed in California (AMFT119207) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356926729

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY DIANE YOUNG

Location Address4445 EASTGATE MALL STE 200San Diego, CA 92121-1979

Mailing Address4445 Eastgate Mall Ste 200San Diego, CA 92121-1979 · (503) 625-0152

Phone(503) 625-0152

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 16, 2021

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1356926729 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 · AMFT119207

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.

4445 EASTGATE MALL STE 200, San Diego, CA 92121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Diane Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547744336

PECOS Enrollment IDI20260319001987

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANYA VAENE LEE PH.D.

Psychologist