Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Fanning-Shiles, LMFT

Individual provider Mental Health Counselor · NPI 1063867737

Kimberly Fanning-Shiles, LMFT is a Marriage and Family Therapist in Rancho Cucamonga, California. Qualified in 2014, 12 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

7365 Carnelian St Ste 202
Rancho Cucamonga, CA 91730-1158
Phone: (909) 376-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 517 N Mountain Ave Ste 129, Upland, CA 91786-5016 — (909) 376-5125

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 98512 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMF 80277 (CA)

Record details

NPI number1063867737
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedApril 29, 2016
Last updated in NPPESJuly 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rancho Cucamonga