KIMBERLY BISHOP
NPI 1538718580
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Kimberly Bishop's NPI number?

The NPI number for Kimberly Bishop is 1538718580. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Q: What is Kimberly Bishop's specialty?

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

Q: Is Kimberly Bishop enrolled in Medicare?

No. Kimberly Bishop has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bishop was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 11, 2019Opted out of Medicare · through Jan 1, 2028

621 CHERRY ST, SANTA ROSA, CA 95404(707) 999-3309 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Sep 11, 2019 (2 updates tracked since 2019).

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About Kimberly Bishop NPPES

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

KIMBERLY BISHOP (NPI 1538718580) is an individual marriage & family therapist in Santa Rosa, California and active in the NPI registry since September 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1538718580

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY BISHOP

Location Address621 CHERRY STSanta Rosa, CA 95404-4202

Mailing Address621 Cherry StSanta Rosa, CA 95404-4202 · (707) 999-3309

Phone(707) 999-3309

Sole ProprietorNo

Enumeration DateSeptember 11, 2019

Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1538718580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

621 CHERRY ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Bishop has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

LOUISA GLUCK MFT

Marriage & Family Therapist