Michelle May Kelly, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119787 Issued in CA

Practice address

875 S Westlake Blvd Ste 211
Westlake Village, CA 91361-2925

Phone

(818) 963-0272

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michelle Kelly Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Westlake Village, CA
  • NPI 1659147528
  NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1275309130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 211",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 211",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612925",
            "telephone_number": "818-963-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHELLE",
        "middle_name": "MAY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dean Kaufman, MFTPSYD
• Patricia Kaufman
• Carolyn Kavner, PHD
• Patricia Ellen Kaye, RN
• Colin Keller
• Charles Abraham Kelman, D.P.M
• Jennifer Kendall, PSY.D.
• Debra Kenney, LCSW
• Julie A Kennington
• Kevin a Attaie Pharmaceutical, Inc (PCC Patient Consultation Center)

• Marriage & Family Therapist in Westlake Village, CA
• Providers in Westlake Village, 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 Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.