Kelley Nicole Bowers, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

137679 Issued in CA

Practice address

4160 Temescal Canyon Rd
Corona, CA 92883-4625

Phone

(951) 480-4705

NPI assigned

Jul 3, 2023

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

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1760169411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107237",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 TEMESCAL CANYON RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834625",
            "telephone_number": "951-480-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alonia Boucard
• Ayanna Bourgeois
• Franklin Michael Boutelle, DRS, DI,DE
• Ramses Boutin, MD, FNP
• Christos G Bovetas, M.D.
• Cammy Bowes, DO
• Ariana Leigh Bowman
• Drusilla Grace Bowman, MS
• Jena Charlise Anne Bowman
• Tori Bissett Bowyer

• Marriage & Family Therapist in Corona, CA
• Providers in Corona, 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 Jul 3, 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.