KIMBERLY BLACK


Address: 913 Willow St Ste 103, San Jose, CA 95125-2380
Phone: 4085991870

KIMBERLY BLACK (NPI# 1821476235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821476235
Entity Type Individual
Full Name KIMBERLY BLACK
Credential M.F.T.
Practice Address 913 Willow St Ste 103
San Jose
CA 95125-2380
Practice Telephone 4085991870
Mailing Telephone 4085991870
Enumeration Date 2015-05-18
Last Update Date 2015-05-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 80313 CA Behavioral Health & Social Service Providers

Other Providers KIMBERLY BLACK

NPI Name Taxonomy Address Enumeration
1063997237 Kimberly Rochelle Black Counselor 31 E Main Ave, Taylorsville, NC 28681-2540 2018-10-03
1962769919 Kimberly Black Speech-Language Pathologist 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 2012-04-16
1619484839 Kimberly Black Behavior Technician 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 2018-01-09
1174042634 Kimberly Sue Black Registered Nurse 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2017-09-15
1255878989 Kimberly Lucille Black Nurse Practitioner 411 3rd St, Monett, MO 65708-2008 2017-01-19
1326415043 Kimberly Black Occupational Therapy Assistant 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 2015-08-28
1043613318 Kimberly Black Hearing Instrument Specialist 798 Downtowner Blvd, Ste A, Mobile, AL 36609-5424 2014-10-01
1518199728 Kimberly G Black Surgery 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2009-08-20
1558522342 Kimberly Black Physical Therapist 212 W 3rd St Sw, Rome, GA 30165-2802 2008-06-24

Office Location

Street Address 913 WILLOW ST STE 103
City SAN JOSE
State CA
Zip Code 95125-2380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881821791 Suzanna Lynn Freerksen Psychiatry & Neurology 913 Willow St Ste 103, San Jose, CA 95125-2380 2009-06-18
1619449105 Suzanna Freerksen, Md, Inc. Psychiatry & Neurology 913 Willow St Ste 103, San Jose, CA 95125-2380 2018-12-20
1114454121 Mark Mouro Marriage & Family Therapist 913 Willow St Ste 103, San Jose, CA 95125-2380 2017-05-22
1215247804 Lisa Sullivan Marriage & Family Therapist 913 Willow St Ste 103, San Jose, CA 95125-2380 2010-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1376197848 Mariam Samir Abadir Dentist 1670 Westwood Dr. Suite K, San Jose, CA 95125 2019-08-01
1750870747 Gertrud Stojancic Massage Therapist 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 2018-05-04
1659809259 Edward Escoto Assistant Behavior Analyst 2075 Lincoln Ave Ste D, San Jose, CA 95125 2017-05-25
1104288422 Kristin Ann Dessau Counselor 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 2016-03-25
1275964488 Indian Health Center of Santa Clara Valley Clinic/Center 1685 Westwood Dr Ste 1, San Jose, CA 95125 2013-12-13
1598042905 Walgreens Exclusive Provider Organization 2585 Almaden Road, San Jose, CA 95125 2011-11-14
1881981488 Kevin Jia-chian Yen Dentist 1660 Willow St Ste 5, San Jose, CA 95125 2011-07-02
1699093724 Lokahi Acupuncture, Inc. Acupuncturist 1688 Willow Street, Suite B, San Jose, CA 95125 2010-05-13
1538482468 Mark Lucius Yoslow Psychologist 970 Minnesota Avenue, San Jose, CA 95125 2010-03-06
Find all providers in zip 95125

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372377 Ratzburg Family Counseling Corporation Marriage & Family Therapist 465 Chinook Ln, San Jose, CA 95123-3311 2020-09-25
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1083230981 Joanna Leigh Carson-young Marriage & Family Therapist 1769 Park Ave Ste 220, San Jose, CA 95126-2025 2020-06-17
1144857467 Glenn M Tanimura Marriage & Family Therapist 1079 Noble Ln, San Jose, CA 95132-3128 2020-03-25
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1992339196 Brenda Ann Farrell Marriage & Family Therapist 1625 The Alameda Ste 711, San Jose, CA 95126-2225 2020-02-26
1619507472 Michelle Marie Wambach Marriage & Family Therapist 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 2020-01-21
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1497398002 Veronica Marie Ayala Marriage & Family Therapist 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 2019-10-26
1700428224 Lynn Huggins Marriage & Family Therapist 1625 The Alameda Ste 304, San Jose, CA 95126-2223 2019-10-16
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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