Active NPI
Walidah K Thrift, LMFT
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1962675827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53052
- Practice address
- 27710 Jefferson Ave
Suite 205
Temecula, CA 92590-4604 - Phone
- (951) 970-9931
- NPI assigned
- Apr 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 53052 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 60304895 | WA |
Addresses
Primary practice location
27710 Jefferson Ave
Suite 205
Temecula, CA 92590-4604
Mailing address
27710 Jefferson Ave
Suite 205
Temecula, CA 92590-4604
Phone (951) 970-9931
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 |
|---|---|---|---|
| 60304895 | WA | MD | Mental Health Counselor |
| 53052 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1962675827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27710 JEFFERSON AVE",
"address_2": "SUITE 205",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904604",
"telephone_number": "951-970-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27710 JEFFERSON AVE",
"address_2": "SUITE 205",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904604",
"telephone_number": "951-970-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRIFT",
"first_name": "WALIDAH",
"middle_name": "K",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53052",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60304895",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.