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KIMBERLY ELLEN SPENCER MFT
NPI 1639610058
Marriage & Family Therapist in Rocklin, CA

Active since March 18, 2017PECOS Enrolled
290 TECHNOLOGY WAY STE 300, ROCKLIN, CA 95765(916) 712-2850 Get Directions Write a Review

NPPES record last updated: March 18, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Ellen Spencer Mft NPPES

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

KIMBERLY ELLEN SPENCER MFT (NPI 1639610058) is an individual marriage & family therapist in Rocklin, California, licensed in California (84617) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639610058
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY ELLEN SPENCERCredential: MFT
Location Address290 TECHNOLOGY WAY STE 300Rocklin, CA 95765-1216
Mailing Address290 Technology Way Ste 300Rocklin, CA 95765-1216 · (916) 712-2850
Phone(916) 712-2850
Sole ProprietorYes
Enumeration DateMarch 18, 2017
✔ NPI 1639610058 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 · 84617
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.
290 TECHNOLOGY WAY STE 300, Rocklin, CA 95765
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ellen Spencer Mft 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 Reassignment

Medicare enrollment records show Kimberly Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
55 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 Spencer's NPI number?

The NPI number for Kimberly Spencer is 1639610058. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Kimberly Spencer located?

Kimberly Spencer practices at 290 Technology Way Ste 300, Rocklin, CA 95765. The listed phone number is (916) 712-2850.

What is Kimberly Spencer's specialty?

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

Is Kimberly Spencer enrolled in Medicare?

Yes. Kimberly Spencer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Spencer reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Spencer accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kimberly Spencer 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 Kimberly Spencer was last updated on March 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.