Active NPI
Kelly Thiemthath
- School Counselor
- San Marcos, CA
National Provider Identifier
1578415576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230233703
- Practice address
- 737 Windy Point Dr Ste 101
San Marcos, CA 92069-1936 - Phone
- (619) 452-0198
- Fax
- (619) 452-0198
- NPI assigned
- Feb 11, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230233703 | CA | Primary |
Addresses
Primary practice location
737 Windy Point Dr Ste 101
San Marcos, CA 92069-1936
Mailing address
737 Windy Point Dr Ste 101
San Marcos, CA 92069-1936
Phone (619) 452-0198
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 |
|---|---|---|---|
| 230233703 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1578415576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 WINDY POINT DR STE 101",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691936",
"telephone_number": "619-452-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 WINDY POINT DR STE 101",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691936",
"telephone_number": "619-452-0198",
"fax_number": "619-452-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEMTHATH",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230233703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.