Tesia Leane Kelley, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102652 Issued in CA

Practice address

12080 Pigeon Pass Rd
C121
Moreno Valley, CA 92557-6931

Phone

(951) 992-9838

NPI assigned

Oct 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1518339936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 HESPERIA RD STE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954500",
            "telephone_number": "951-992-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 PIGEON PASS RD",
            "address_2": "C121",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576931",
            "telephone_number": "951-992-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TESIA",
        "middle_name": "LEANE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48819",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max James Kayes, MFT
• Lenee Nicole Kehnt, PH.D
• Kevin Keith
• Kekes International LLC
• Isabella Keller
• Deandra Cassandra Kellman
• Kelly Miranda Physician Assistant Inc.
• Christine Nicole Kendrick, CADC II
• Ashley Kennedy
• Ronald Norman Kent, MD

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, 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 Jun 9, 2020; 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.