Individual provider Active NPI

Kellye Debra Lee Laughery, MBA. MA LMFT 49206

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1073753182
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49206 Issued in CA
Practice address
3625 Ruffin Rd Ste 302
San Diego, CA 92123
Phone
(619) 884-0601
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 49206 CA Primary

Addresses

Primary practice location

3625 Ruffin Rd Ste 302
San Diego, CA 92123

Mailing address

PO Box 375
Rodeo, NM 88056-0375
Phone (619) 884-0601

Other practice location 1

3625 Ruffin Rd Ste 302
San Diego, CA 92123
Phone (619) 884-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
49206CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Family Unity Marriage & Family Therapist Past Accepting new patients
The Center for Family Unity Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1073753182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "RODEO",
            "state": "NM",
            "postal_code": "880560375",
            "telephone_number": "619-884-0601",
            "fax_number": "760-884-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 RUFFIN RD STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-884-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 Ruffin Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "619-884-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUGHERY",
        "first_name": "KELLYE",
        "middle_name": "DEBRA LEE",
        "name_prefix": "Ms.",
        "credential": "MBA. MA LMFT 49206",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.