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KIMMIL HOLLIS LMFT
NPI 1487045043
Marriage & Family Therapist in Paso Robles, CA

Active since February 17, 2015PECOS Enrolled
4696 GREEN PINE LN, PASO ROBLES, CA 93446(909) 368-9796 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2021, Aug 19, 2016 (2 updates tracked since 2016).

About Kimmil Hollis Lmft NPPES

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

KIMMIL HOLLIS LMFT (NPI 1487045043) is an individual marriage & family therapist in Paso Robles, California, licensed in California (108364) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1487045043
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMMIL HOLLISCredential: LMFT
Location Address4696 GREEN PINE LNPaso Robles, CA 93446-4100
Mailing Address4696 Green Pine LnPaso Robles, CA 93446-4100 · (909) 368-9796
Phone(909) 368-9796
Sole ProprietorNo
Enumeration DateFebruary 17, 2015
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1487045043 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 · 108364
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.
4696 GREEN PINE LN, Paso Robles, CA 93446
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 W West Covina PkwyWest Covina, CA 91790-2946 · Phone (626) 974-0770

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimmil Hollis Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kimmil Hollis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders Psychological Services, Inc.
195 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249
Soultenders, Inc.
195 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034

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 Kimmil Hollis's NPI number?

The NPI number for Kimmil Hollis is 1487045043. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Kimmil Hollis located?

Kimmil Hollis practices at 4696 Green Pine Ln, Paso Robles, CA 93446. The listed phone number is (909) 368-9796.

What is Kimmil Hollis's specialty?

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

Is Kimmil Hollis enrolled in Medicare?

Yes. Kimmil Hollis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimmil Hollis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimmil Hollis reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each 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 Kimmil Hollis'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 Kimmil Hollis was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.