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

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: November 01, 2026.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Social Worker (Clinical)
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Behavior Analyst
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Behavior Technician
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Psychologist (Cognitive & Behavioral)
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121

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 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.

Where is Kimberly Young located?

Kimberly Young practices at 4445 Eastgate Mall Ste 200, San Diego, CA 92121. The listed phone number is (503) 625-0152.

What is Kimberly Young's specialty?

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

Is Kimberly Young enrolled in Medicare?

Yes. Kimberly Young is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Young reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.