Keyanna Marie Thomas, AMFT149278

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT149278 Issued in CA

Practice address

12728 Rancho Penasquitos Blvd Apt 95
San Diego, CA 92129-2957

Phone

(480) 686-5446

NPI assigned

Dec 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1306654785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 RANCHO PENASQUITOS BLVD APT 95",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292957",
            "telephone_number": "480-686-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 RANCHO PENASQUITOS BLVD APT 95",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292957",
            "telephone_number": "480-686-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8729 E Kiva Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852095312",
            "country_code": "US",
            "telephone_number": "480-686-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEYANNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "AMFT149278",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT149278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Thomas
• Kaylee Thomas
• Keith L Thomas
• Kelly Thomas
• Kelsey R Thomas
• Kim Marie Thomas, DO
• Kimberly Elaine Thomas, PA
• Kowanda Thomas
• Latoya Thomas, MS OTRL
• Lauren Noel Thomas, RN

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 20, 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.