Active NPI
Kaitlyn Ann Thomas
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1538464458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112410
- Practice address
- 3711 Long Beach Blvd Ste 4019
Long Beach, CA 90807-3315 - Phone
- (562) 373-0494
- NPI assigned
- Jan 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 112410 | CA | Primary |
Addresses
Primary practice location
3711 Long Beach Blvd Ste 4019
Long Beach, CA 90807-3315
Mailing address
PO Box 183
Orange, CA 92856-6183
Phone (562) 373-0494
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112410 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1538464458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"city": "ORANGE",
"state": "CA",
"postal_code": "928566183",
"telephone_number": "562-373-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 LONG BEACH BLVD STE 4019",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073315",
"telephone_number": "562-373-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KAITLYN",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2022-12-07",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.