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KIMBERLY BLACK M.F.T.
NPI 1821476235
Marriage & Family Therapist in San Jose, CA

Active since May 18, 2015
913 WILLOW ST STE 103, SAN JOSE, CA 95125(408) 599-1870 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Black M.f.t. NPPES

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

KIMBERLY BLACK M.F.T. (NPI 1821476235) is an individual marriage & family therapist in San Jose, California, licensed in California (80313) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1821476235
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY BLACKCredential: M.F.T.
Location Address913 WILLOW ST STE 103San Jose, CA 95125-2380
Mailing Address913 Willow St Ste 103San Jose, CA 95125-2380 · (408) 599-1870
Phone(408) 599-1870
Sole ProprietorYes
Enumeration DateMay 18, 2015
✔ NPI 1821476235 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 · 80313
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.
913 WILLOW ST STE 103, San Jose, CA 95125
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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.

LISA SULLIVAN M.A. LMFT
Marriage & Family Therapist
913 WILLOW ST STE 103
SAN JOSE, CA 95125
Santa Clara County (408) 440-9047
DR. SUZANNA LYNN FREERKSEN M.D.
Psychiatry & Neurology (Psychiatry)
913 WILLOW ST STE 103
SAN JOSE, CA 95125
Santa Clara County (669) 242-5151

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 Black's NPI number?

The NPI number for Kimberly Black is 1821476235. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Kimberly Black located?

Kimberly Black practices at 913 Willow St Ste 103, San Jose, CA 95125. The listed phone number is (408) 599-1870.

What is Kimberly Black'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 Kimberly Black was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.