KIMI MACK LMFT, LPCC
NPI 1952786550
Marriage & Family Therapist in San Francisco, CA

Q: What is Kimi Mack's NPI number?

The NPI number for Kimi Mack is 1952786550. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Q: What is Kimi Mack'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 Kimi Mack was last updated on February 13, 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 July 24, 2015PECOS Enrolled

3609 SACRAMENTO ST, SAN FRANCISCO, CA 94118(408) 766-4420 Get Directions Write a Review

NPPES record last updated: February 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2022, Mar 26, 2020 (2 updates tracked since 2020).

On this page

About Kimi Mack Lmft, Lpcc NPPES

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

KIMI MACK LMFT, LPCC (NPI 1952786550) is an individual marriage & family therapist in San Francisco, California, licensed in California (107242) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1952786550

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMI MACKCredential: LMFT, LPCC

Location Address3609 SACRAMENTO STSan Francisco, CA 94118-1709

Mailing AddressPo Box 320844Los Gatos, CA 95032-0114 · (408) 766-4420

Phone(408) 766-4420

Sole ProprietorNo

Enumeration DateJuly 24, 2015

Last NPPES UpdateFebruary 13, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2022

✔ NPI 1952786550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 107242

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 107242 (CA)

3609 SACRAMENTO ST, San Francisco, CA 94118

Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · Phone (408) 975-2730 ext. 205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimi Mack Lmft, Lpcc 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.

MEGAN MIJI KIM MD

Psychiatry & Neurology (Psychiatry)