Kelly A Lay-Raitt, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50696 Issued in CA

Practice address

776 S State St Ste 103
Ukiah, CA 95482-5833

Phone

(707) 463-4915

Fax

(707) 463-4517

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly A Raitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1194854745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954820018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S STATE ST STE 103",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825833",
            "telephone_number": "707-463-4915",
            "fax_number": "707-463-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Linda Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825224",
            "country_code": "US",
            "telephone_number": "707-319-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAY-RAITT",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT 50696",
            "identifier": "50696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RAITT",
            "middle_name": "A",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Laubach, DO
• Frances Ann Laughton, FNP
• Kristen Lawson
• Margy M Lawson
• Jeremy Owen Lawyer, MFT
• Nancy Laybourn, P.A.
• Lawrence Lazaro
• Duc Le, DO
• Thong Huy Le, PHARMD
• Ida Sue Leamon, F.N.P.

• Marriage & Family Therapist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.