Active NPI
Kelly Dawn Thompson
- Marriage & Family Therapist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152301
- Practice address
- 28693 Old Town Front St
Temecula, CA 92590-2786 - Phone
- (951) 395-1916
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 205935 | TX | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | AMFT126507 | CA | |
| Marriage & Family Therapist | 106H00000X | 152301 | CA | Primary |
Addresses
Primary practice location
28693 Old Town Front St
Temecula, CA 92590-2786
Mailing address
3470 Nature Trail CT
Perris, CA 92571-7364
Phone (661) 345-0036
Other practice location 1
9990 County Farm Rd Ste 5
Riverside, CA 92503-3542
Phone (951) 374-3516 ext. 83399
Other practice location 2
1370 S State St Ste A
San Jacinto, CA 92583-4922
Phone (951) 791-3330
Other practice location 3
1627 S Hargrave St
Banning, CA 92220-6169
Phone (951) 922-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT126507 | CA | MD | Clinical Social Worker |
| 152301 | CA | MD | Marriage & Family Therapist |
| 205935 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Family Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Flourish Christian Counseling
- Marriage & Family Therapist
- Temecula, CA
- NPI 1598382988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1376067231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 NATURE TRAIL CT",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717364",
"telephone_number": "661-345-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28693 OLD TOWN FRONT ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902786",
"telephone_number": "951-395-1916"
}
],
"practiceLocations": [
{
"address_1": "9990 County Farm Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033542",
"country_code": "US",
"telephone_number": "951-374-3516 x83399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1370 S State St Ste A",
"address_purpose": "LOCATION",
"city": "San Jacinto",
"state": "CA",
"postal_code": "925834922",
"country_code": "US",
"telephone_number": "951-791-3330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1627 S Hargrave St",
"address_purpose": "LOCATION",
"city": "Banning",
"state": "CA",
"postal_code": "922206169",
"country_code": "US",
"telephone_number": "951-922-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KELLY",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "205935",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "AMFT126507",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "152301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.