Individual provider Active NPI

Veronica Kelly Thurman, MA

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1609510387
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107385 Issued in CA
Practice address
2900 Bristol St Ste J206
Costa Mesa, CA 92626-7921
Phone
(949) 436-7364
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 107385 CA Primary

Addresses

Primary practice location

2900 Bristol St Ste J206
Costa Mesa, CA 92626-7921

Mailing address

21015 Ponderosa
Mission Viejo, CA 92692-4049
Phone (909) 238-3604

Other identifiers 1

IdentifierTypeStateIssuer
107385OtherCACINGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vthurman@kathrinwinklertherapy.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
107385CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathrin Winkler Therapy Marriage & Family Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

2900 Bristol St
Ste J206
Costa Mesa, CA 92626
Phone (949) 244-5336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1609510387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 PONDEROSA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924049",
            "telephone_number": "909-238-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE J206",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267921",
            "telephone_number": "949-436-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "VERONICA",
        "middle_name": "KELLY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CINGA",
            "identifier": "107385",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vthurman@kathrinwinklertherapy.com",
            "affiliation": "N",
            "address_1": "2900 Bristol St Ste J206",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926267921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.