MS. KIMBERLY ANN SCOTT MFT
NPI 1942546619
Marriage & Family Therapist in Granada Hills, CA

Active since December 27, 2012Opted out of Medicare · through Jan 1, 2028
17402 CHATSWORTH STREET, SUITE 104, GRANADA HILLS, CA 91344(818) 906-0406(818) 906-1566 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Ann Scott Mft NPPES

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

MS. KIMBERLY ANN SCOTT MFT (NPI 1942546619) is an individual marriage & family therapist in Granada Hills, California, licensed in California (MFC21184) and active in the NPI registry since December 2012. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1942546619
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KIMBERLY ANN SCOTTCredential: MFT
Location Address17402 CHATSWORTH STREET, SUITE 104Granada Hills, CA 91344
Mailing Address25834 Browning PlaceStevenson Ranch, CA 91381 · (818) 309-7780 · Fax (661) 670-8638
Fax(818) 906-1566
Sole ProprietorYes
Enumeration DateDecember 27, 2012
Last NPPES UpdateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1942546619 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 · MFC21184
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.
17402 CHATSWORTH STREET, Granada Hills, CA 91344

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Kimberly Ann Scott Mft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
17402 CHATSWORTH STREET, ST 201
GRANADA HILLS, CA 91344

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 Scott's NPI number?

The NPI number for Kimberly Scott is 1942546619. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Where is Kimberly Scott located?

Kimberly Scott practices at 17402 Chatsworth Street Suite 104, Granada Hills, CA 91344. The listed phone number is (818) 906-0406.

What is Kimberly Scott's specialty?

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

Is Kimberly Scott enrolled in Medicare?

No. Kimberly Scott has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Scott was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.