KELLIE TAYLOR THOELECKE LMFT
NPI 1356640676
Marriage & Family Therapist in San Diego, CA

Q: What is Kellie Thoelecke's NPI number?

The NPI number for Kellie Thoelecke is 1356640676. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Q: What is Kellie Thoelecke's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Thoelecke was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2011

1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110(619) 275-0822 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie Taylor Thoelecke Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE TAYLOR THOELECKE LMFT (NPI 1356640676) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT99746) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1356640676

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLIE TAYLOR THOELECKECredential: LMFT

Location Address1202 MORENA BLVD STE 300San Diego, CA 92110-3844

Mailing Address1664 BroadwayEl Cajon, CA 92021-5201

Phone(619) 275-0822

Sole ProprietorNo

Enumeration DateMarch 25, 2011

Last NPPES UpdateFebruary 1, 2019

✔ NPI 1356640676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT99746

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1202 MORENA BLVD STE 300, San Diego, CA 92110

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Other Identifiers 1

Medicaid1356640676CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VERONICA YVETTE EPHRAIM M.S.

Marriage & Family Therapist