Individual provider Active NPI

Kelly Ormosen

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1255704086
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88907 Issued in CA
Practice address
1899 E Roseville Pkwy Ste 140
Roseville, CA 95661-7980
Phone
(530) 218-6366
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 88907 CA Primary

Addresses

Primary practice location

1899 E Roseville Pkwy Ste 140
Roseville, CA 95661-7980

Mailing address

PO Box 231
Penryn, CA 95663-0231
Phone (530) 218-6366

Other practice location 1

PO Box 231
Penryn, CA 95663-0231
Phone (530) 218-6366

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
88907CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Counseling Center, Inc. Past Accepting new patients
La Familia Counseling Center, Inc Past Accepting new patients

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1255704086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "PENRYN",
            "state": "CA",
            "postal_code": "956630231",
            "telephone_number": "530-218-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617980",
            "telephone_number": "530-218-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 231",
            "address_purpose": "LOCATION",
            "city": "Penryn",
            "state": "CA",
            "postal_code": "956630231",
            "country_code": "US",
            "telephone_number": "530-218-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORMOSEN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.