KIMBERLY ANN MEDINA MFT
NPI 1922568419
Marriage & Family Therapist in Dublin, CA

Q: What is Kimberly Medina's NPI number?

The NPI number for Kimberly Medina is 1922568419. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Kimberly Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Medina 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.

Active since March 21, 2019PECOS Enrolled

5325 BRODER BLVD, DUBLIN, CA 94568(925) 551-6500 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Mar 21, 2019 (2 updates tracked since 2019).

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About Kimberly Ann Medina Mft NPPES

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

KIMBERLY ANN MEDINA MFT (NPI 1922568419) is an individual marriage & family therapist in Dublin, California, licensed in California (45593) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922568419

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY ANN MEDINACredential: MFT

Location Address5325 BRODER BLVDDublin, CA 94568-3309

Mailing Address5325 Broder BlvdDublin, CA 94568-3309

Phone(925) 551-6500

Sole ProprietorYes

Enumeration DateMarch 21, 2019

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1922568419 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 · 45593

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.

5325 BRODER BLVD, Dublin, CA 94568

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Medina Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANTOINETTE TAYLOR

Social Worker (Clinical)