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KIMBERLY FERN COFFEE
NPI 1649830217
Counselor - Mental Health in Riverside, CA

Active since June 17, 2019
525 TECHNOLOGY CT STE 105, RIVERSIDE, CA 92507(951) 686-8500 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2023, May 11, 2021, Jun 17, 2019 (3 updates tracked since 2019).

About Kimberly Fern Coffee NPPES

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

KIMBERLY FERN COFFEE (NPI 1649830217) is an individual mental health provider in Riverside, California, licensed in California (6492) and active in the NPI registry since June 2019. She maintains a secondary practice location in Hesperia.

NPPES Registry Identity

NPI1649830217
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY FERN COFFEE
Location Address525 TECHNOLOGY CT STE 105Riverside, CA 92507-2181
Mailing Address525 Technology Ct Ste 105Riverside, CA 92507-2181 · (951) 686-8500 · Fax (760) 956-3761
Phone(951) 686-8500
Sole ProprietorYes
Enumeration DateJune 17, 2019
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1649830217 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 · 6492
525 TECHNOLOGY CT STE 105, Riverside, CA 92507
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Secondary Practice Location 1

Location 111951 Hesperia RdHesperia, CA 92345-1855 · Phone (760) 956-2345 · Fax (760) 956-3761

Other Providers at the Same Location NPPES 20

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

MR. KAMRAN SHAHBAZI
Case Manager/Care Coordinator
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
MATTHEW DORANTES
Case Manager/Care Coordinator
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
CORIN MARRERO
Case Manager/Care Coordinator
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
DESTINY MENDOZA
Case Manager/Care Coordinator
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
KAITLYNN OAKS
Case Manager/Care Coordinator
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
SHIANNE WATKINS
Student in an Organized Health Care Education/Training Program
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
JANINA MILLER
Social Worker (Clinical)
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500
YESSENIA VIVIANA BAUTISTA
Marriage & Family Therapist
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507
Riverside County (951) 686-8500

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 Coffee's NPI number?

The NPI number for Kimberly Coffee is 1649830217. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Kimberly Coffee located?

Kimberly Coffee practices at 525 Technology Ct Ste 105, Riverside, CA 92507. The listed phone number is (951) 686-8500.

What is Kimberly Coffee'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 Coffee was last updated on May 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.