Active NPI
Kelly D Anglin, MA, LMFT
- Marriage & Family Therapist
- Spring Hill, TN
National Provider Identifier
1063798528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0162711
- Practice address
- 303 Cadet CT
Spring Hill, TN 37174-1380 - Phone
- (505) 215-3629
- Fax
- (888) 649-1808
- NPI assigned
- Oct 28, 2011
- Last updated
- Jan 4, 2025
- 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 | |||
| Marriage & Family Therapist | 106H00000X | 0162711 | NM | Primary |
Addresses
Primary practice location
303 Cadet CT
Spring Hill, TN 37174-1380
Mailing address
4106 N Dustin Ave
Farmington, NM 87401-9253
Phone (505) 215-3629
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0162711 | NM | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Anglin LLC | Marriage & Family Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anglin Family Therapy
- Marriage & Family Therapist
- Farmington, NM
- NPI 1629497094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1063798528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 N DUSTIN AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019253",
"telephone_number": "505-215-3629",
"fax_number": "855-827-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CADET CT",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371741380",
"telephone_number": "505-215-3629",
"fax_number": "888-649-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLIN",
"first_name": "KELLY",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0162711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.