1. Home
  2. Directory
  3. California
  4. Costa Mesa
  5. Counselor
  6. NPI Profile

MRS. KIMBERLY IRENE CLARK MFT
NPI 1609050913
Counselor - Mental Health in Costa Mesa, CA

Active since December 21, 2007
3077 COOLIDGE AVE, COSTA MESA, CA 92626(714) 614-7382(714) 444-0722 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Irene Clark Mft NPPES

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

MRS. KIMBERLY IRENE CLARK MFT (NPI 1609050913) is an individual mental health provider in Costa Mesa, California, licensed in California (40815) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1609050913
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIMBERLY IRENE CLARKCredential: MFT
Location Address3077 COOLIDGE AVECosta Mesa, CA 92626-2809
Mailing Address3077 Coolidge AveCosta Mesa, CA 92626-2809 · (714) 614-7382 · Fax (714) 444-0722
Phone(714) 614-7382
Fax(714) 444-0722
Sole ProprietorYes
Enumeration DateDecember 21, 2007
✔ NPI 1609050913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 40815
3077 COOLIDGE AVE, Costa Mesa, CA 92626
Open in Google Maps ↗

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 Clark's NPI number?

The NPI number for Kimberly Clark is 1609050913. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Kimberly Clark located?

Kimberly Clark practices at 3077 Coolidge Ave, Costa Mesa, CA 92626. The listed phone number is (714) 614-7382.

What is Kimberly Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.