MS. KIMBERLY PREVOST
NPI 1396309381
Marriage & Family Therapist in San Diego, CA
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.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberly Prevost is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Prevost reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
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.
Which organization bills Medicare for Kimberly Prevost's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Prevost reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Prevost'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 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 16 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.
# Ms. Kimberly Prevost · NPI 1396309381
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 25, 2019.
## Identity
- **NPI:** 1396309381 (Entity type: Individual)
- **Enumerated:** April 25, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 155210 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8880 CASSIOEPIA WAY, San Diego, CA 92126-1465
- **Phone:** (858) 922-1480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396309381) · Data from the CMS NPPES public registry.