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KIMBERLEE MOUNTAIN GOLLES CCC-SLP
NPI 1730625336
Speech-Language Pathologist in Walnut Creek, CA

Active since January 06, 2017
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Jan 6, 2017 (2 updates tracked since 2017).

About Kimberlee Mountain Golles Ccc-slp NPPES

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

KIMBERLEE MOUNTAIN GOLLES CCC-SLP (NPI 1730625336) is an individual speech-language pathologist provider in Walnut Creek, California, licensed in California (22788) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1730625336
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLEE MOUNTAIN GOLLESCredential: CCC-SLP
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1509 Hearst Ave, #104Berkeley, CA 94703-1284 · (530) 355-3861
Phone(925) 295-4000
Sole ProprietorYes
Enumeration DateJanuary 6, 2017
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1730625336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 22788
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1425 S MAIN ST, Walnut Creek, CA 94596
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberlee Mountain Golles Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Permanente Medical Group Inc
17 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BROOK ANDREW WOOLLEY M.D.
Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5100
DR. THOMAS CRESANTE D.O.
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4643
SARA WON MD
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4040
KAISER PERMANENTE
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
MICHELLE CABLE VU CRNA
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
DR. JESUS GIL JIMENEZ MD
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4110
MR. EDWARD HAL PIECZENIK L.C.S.W.
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5237
CARLOS A. CROMEYER MD
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000

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 Kimberlee Golles's NPI number?

The NPI number for Kimberlee Golles is 1730625336. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Where is Kimberlee Golles located?

Kimberlee Golles practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.

What is Kimberlee Golles's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberlee Golles enrolled in Medicare?

Yes. Kimberlee Golles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Golles's services?

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

When was this NPI record last updated?

The NPPES record for Kimberlee Golles was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.