Kelly Madelyn Pearson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133205 Issued in CA

Practice address

2 Crow Canyon CT Ste 110
San Ramon, CA 94583-1681

Phone

(925) 275-5091

NPI assigned

Nov 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Whole Life Family Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Ramon, CA
  • NPI 1356957575
  NPD
• Mindful Lemon Marriage and Family Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clarita, CA
  • NPI 1487324463

  Marriage & Family Therapist

  NPD (past)
• TML Behavioral Health Group LLC

  • Psychiatric Residential Treatment Facility
  • Castaic, CA
  • NPI 1003661737
  NPD (past)

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1710696984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760943",
            "telephone_number": "949-413-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROW CANYON CT STE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831681",
            "telephone_number": "925-275-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KELLY",
        "middle_name": "MADELYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Charles Patterson, DDS
• Lindsay Patton, PH.D.
• Paul Wotowic a Professional Corporation
• Amanda Pazooki, P.T.
• Peak Mental Health - Licensed Clinical Social Worker PC
• Alma Pedraza-Zepeda
• Anahi Pelayo
• Joann Pelayo
• Dorina Pellegrini
• Daniela Pena

• Marriage & Family Therapist in San Ramon, CA
• Providers in San Ramon, 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 Jan 26, 2023; 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.