Active NPI
Kelly Ryan Kozlowski, LMFT
- Marriage & Family Therapist
- Palmdale, CA
National Provider Identifier
1124814108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 162098
- Practice address
- 38345 30TH St E Ste C2
Palmdale, CA 93550-4982 - Phone
- (661) 418-2871
- NPI assigned
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 162098 | CA | Primary |
Addresses
Primary practice location
38345 30TH St E Ste C2
Palmdale, CA 93550-4982
Mailing address
28109 Branch Rd
Castaic, CA 91384-3002
Phone (661) 481-2871
Other practice location 1
435 Yale Ave
Claremont, CA 91711-4340
Phone (661) 481-2871
Other practice location 2
16600 Sherman Way Ste 280
Van Nuys, CA 91406-3785
Phone (661) 481-2871
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871324046 | Other | CA | AV |
| 1629809579 | Other | CA | HQ |
| 1407660251 | Other | CA | SFV |
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 |
|---|---|---|---|
| 162098 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parents Anonymous Inc. | Professional | Current | Accepting new patients |
| Parents Anonymous Inc. | Past | Accepting new patients |
Locations
435 Yale Ave
Claremont, CA 91711
Phone (909) 304-1576
38345 30th St E
Ste C2
Palmdale, CA 93550
Phone (661) 418-2871
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Nuys, CA
- NPI 1962387076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1124814108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28109 BRANCH RD",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913843002",
"telephone_number": "661-481-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38345 30TH ST E STE C2",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504982",
"telephone_number": "661-418-2871"
}
],
"practiceLocations": [
{
"address_1": "435 Yale Ave",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "CA",
"postal_code": "917114340",
"country_code": "US",
"telephone_number": "661-481-2871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16600 Sherman Way Ste 280",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914063785",
"country_code": "US",
"telephone_number": "661-481-2871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "KELLY",
"middle_name": "RYAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "162098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV",
"identifier": "1871324046",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HQ",
"identifier": "1629809579",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFV",
"identifier": "1407660251",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.