MISS KIMALLY L. SAMUELS MFT
NPI 1508047051
Marriage & Family Therapist in Antioch, CA

Q: What is Kimally Samuels's NPI number?

The NPI number for Kimally Samuels is 1508047051. It was assigned to this individual provider in the NPPES registry on November 26, 2007. The provider is also known as Miss Kimally L. Jackson Mft.

Q: What is Kimally Samuels'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 Kimally Samuels was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 26, 2007

2225 BUCHANAN RD STE H, ANTIOCH, CA 94509(925) 226-8780(925) 777-9446 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 5, 2017 (2 updates tracked since 2017).

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About Miss Kimally L. Samuels Mft NPPES

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

MISS KIMALLY L. SAMUELS MFT (NPI 1508047051) is an individual marriage & family therapist in Antioch, California, licensed in California (44594) and active in the NPI registry since November 2007. She maintains a secondary practice location in San Leandro.

NPPES Registry Identity

NPI1508047051

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMISS KIMALLY L. SAMUELSCredential: MFT

Location Address2225 BUCHANAN RD STE HAntioch, CA 94509-4209

Mailing Address640 Bailey Rd # 482Bay Point, CA 94565-4306 · (925) 226-8780

Phone(925) 226-8780

Fax(925) 777-9446

Sole ProprietorYes

Enumeration DateNovember 26, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1508047051 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 · 44594

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.

2225 BUCHANAN RD STE H, Antioch, CA 94509

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Other Names 1

Former Name (1)Miss Kimally L. Jackson Mft

Secondary Practice Location 1

Location 12050 Fairmont DrSan Leandro, CA 94578-1001 · Phone (510) 483-3030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

COMPASSIONATE HEART COUNSELING

Marriage & Family Therapist

2225 BUCHANAN RD STE H
ANTIOCH, CA 94509

Contra Costa County (925) 226-8780

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 Kimally Samuels's NPI number?

The NPI number for Kimally Samuels is 1508047051. It was assigned to this individual provider in the NPPES registry on November 26, 2007. The provider is also known as Miss Kimally L. Jackson Mft.

Where is Kimally Samuels located?

Kimally Samuels practices at 2225 Buchanan Rd Ste H, Antioch, CA 94509. The listed phone number is (925) 226-8780.

What is Kimally Samuels's specialty?

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

What insurance does Kimally Samuels accept?

Health plans from Providence Health Plan list Kimally Samuels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimally Samuels was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.