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MS. KIMBERLY PREVOST
NPI 1396309381
Marriage & Family Therapist in San Diego, CA

Active since April 25, 2019PECOS Enrolled
8880 CASSIOEPIA WAY, SAN DIEGO, CA 92126(858) 922-1480 Get Directions Write a Review

NPPES record last updated: May 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2025, Apr 25, 2019 (2 updates tracked since 2019).

About Ms. Kimberly Prevost NPPES

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

MS. KIMBERLY PREVOST (NPI 1396309381) is an individual marriage & family therapist in San Diego, California, licensed in California (155210) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396309381
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KIMBERLY PREVOST
Location Address8880 CASSIOEPIA WAYSan Diego, CA 92126-1465
Mailing Address8880 Cassioepia WaySan Diego, CA 92126-1465 · (858) 922-1480
Phone(858) 922-1480
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 25, 2019
Last NPPES UpdateMay 25, 20252 updates tracked since enumeration
NPPES CertifiedMay 25, 2025
✔ NPI 1396309381 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 · 155210
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.
8880 CASSIOEPIA WAY, San Diego, CA 92126
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7810409059
PECOS Enrollment IDI20250624002534
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.

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 Prevost's NPI number?

The NPI number for Kimberly Prevost is 1396309381. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Kimberly Prevost located?

Kimberly Prevost practices at 8880 Cassioepia Way, San Diego, CA 92126. The listed phone number is (858) 922-1480.

What is Kimberly Prevost's specialty?

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

Is Kimberly Prevost enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Prevost was last updated on May 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.