Individual provider Active NPI

Kelly Ryan Kozlowski, LMFT

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1124814108
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
162098 Issued in CA
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

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1871324046OtherCAAV
1629809579OtherCAHQ
1407660251OtherCASFV

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

LicenseStateTypeSpecialty
162098CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parents Anonymous Inc. Professional CurrentSince Apr 20, 2025 Accepting new patients
Parents Anonymous Inc. PastSince Aug 10, 2025 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.

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.

Verify at the official NPI Registry.