JASON KIMBROUGH
NPI 1710004072
Marriage & Family Therapist in San Mateo, CA

Active since March 23, 2007
3080 LA SELVA ST, SAN MATEO, CA 94403(650) 573-3615(650) 349-0476 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Kimbrough NPPES

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

JASON KIMBROUGH (NPI 1710004072) is an individual marriage & family therapist in San Mateo, California, licensed in California (MFC37207) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1710004072
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJASON KIMBROUGH
Location Address3080 LA SELVA STSan Mateo, CA 94403-2109
Mailing Address3080 La Selva StSan Mateo, CA 94403-2109 · (650) 573-3615 · Fax (650) 349-0476
Fax(650) 349-0476
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710004072 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 · MFC37207
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.
3080 LA SELVA ST, San Mateo, CA 94403

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.

Marriage & Family Therapist
3080 LA SELVA ST
SAN MATEO, CA 94403
Social Worker (Clinical)
3080 LA SELVA ST
SAN MATEO, CA 94403
Marriage & Family Therapist
3080 LA SELVA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3080 LA SELVA ST
SAN MATEO, CA 94403
Social Worker (Clinical)
3080 LA SELVA ST
SAN MATEO, CA 94403
Marriage & Family Therapist
3080 LA SELVA ST
SAN MATEO, CA 94403
Counselor (Mental Health)
3080 LA SELVA ST
SAN MATEO, CA 94403
Marriage & Family Therapist
3080 LA SELVA ST
SAN MATEO, CA 94403

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 Jason Kimbrough's NPI number?

The NPI number for Jason Kimbrough is 1710004072. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Jason Kimbrough located?

Jason Kimbrough practices at 3080 La Selva St, San Mateo, CA 94403. The listed phone number is (650) 573-3615.

What is Jason Kimbrough's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason Kimbrough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.