Individual provider Active NPI

Tomi Yvette Campbell Kelly, LPCC13198

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1457572786
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13198 Issued in CA
Practice address
6145 Imperial Ave
San Diego, CA 92114-4213
Phone
(619) 262-8000
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC13198 CA
Professional Counselor 101YP2500X 13198 CA Primary

Addresses

Primary practice location

6145 Imperial Ave
San Diego, CA 92114-4213

Mailing address

8465 Broadway Apt 204
Lemon Grove, CA 91945-2011
Phone (619) 300-3604

Other practice location 1

5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142
Phone (619) 737-2768

Other names 1

  • Tomi Yvette Campbell Kelly Other name

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

State licenses

LicenseStateTypeSpecialty
APCC13198CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1457572786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 BROADWAY APT 204",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452011",
            "telephone_number": "619-300-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144213",
            "telephone_number": "619-262-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5473 Kearny Villa Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231142",
            "country_code": "US",
            "telephone_number": "619-737-2768",
            "fax_number": "619-264-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL KELLY",
        "first_name": "TOMI",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LPCC13198",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC13198",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMI",
            "last_name": "CAMPBELL KELLY",
            "middle_name": "YVETTE",
            "credential": "APCC13198",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 29, 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.