1. Home
  2. Directory
  3. California
  4. Rancho Cucamonga
  5. Marriage Family Therapist
  6. NPI Profile

KIMM MORENO
NPI 1740847730
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since May 24, 2019Opted out of Medicare · through Dec 6, 2027
8608 UTICA AVE STE 205, RANCHO CUCAMONGA, CA 91730(951) 532-5898 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimm Moreno NPPES

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

KIMM MORENO (NPI 1740847730) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (112514) and active in the NPI registry since May 2019. She has opted out of Medicare through December 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740847730
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMM MORENO
Location Address8608 UTICA AVE STE 205Rancho Cucamonga, CA 91730-4877
Mailing Address7884 Peralta RdRancho Cucamonga, CA 91730-6251 · (951) 532-5898
Phone(951) 532-5898
Sole ProprietorYes
Enumeration DateMay 24, 2019
✔ NPI 1740847730 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 · 112514
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.
8608 UTICA AVE STE 205, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimm Moreno has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2025 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2025
Opt-Out In Effect ThroughDecember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

FRONTLINE MEDICAL TRANSPORTATION LLC
Transportation Network Company
8608 UTICA AVE STE 205
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 204-5205
ANGELA HOLLOWAY LMFT
Marriage & Family Therapist
8608 UTICA AVE STE 205
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 770-0492

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 Kimm Moreno's NPI number?

The NPI number for Kimm Moreno is 1740847730. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Kimm Moreno located?

Kimm Moreno practices at 8608 Utica Ave Ste 205, Rancho Cucamonga, CA 91730. The listed phone number is (951) 532-5898.

What is Kimm Moreno's specialty?

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

Is Kimm Moreno enrolled in Medicare?

No. Kimm Moreno has opted out of Medicare through December 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimm Moreno was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.