Katherine Marie Maclay Blackwell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86419 Issued in CA

Practice address

31045 Temecula Pkwy Ste 204
Temecula, CA 92592-3085

Phone

(951) 234-4871

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Marie Maclay Teague Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1295978062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 SUMMIT VIEW PL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31045 TEMECULA PKWY STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923085",
            "telephone_number": "951-234-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KATHERINE MARIE",
        "middle_name": "MACLAY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE MARIE",
            "last_name": "TEAGUE",
            "middle_name": "MACLAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine M Bisson, M.A., MFT
• Richard J Bisson, M.DIV,M.A., MFC
• Parikshit Bittla
• Karen G Black, LMFT
• Van Allen Black Jr.
• Stephanie Blair, BCBA
• Blank Psychological Services, Inc.
• Emily Blank
• Jeremy Blank, PSY.D.
• Hannah Bledsoe, RBT

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.