Kelli Olds, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT98178 Issued in CA

Practice address

826 2ND St
Encinitas, CA 92024-4408

Phone

(702) 806-4085

NPI assigned

Mar 8, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mood Marriage and Family Therapy Inc

  dba Mood and Motion Therapy

  • Marriage & Family Therapist
  • Carlsbad, CA
  • NPI 1134083546
  NPD Authorized official

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1295275394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 HEATH CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113317",
            "telephone_number": "702-806-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "702-806-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "KELLI",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT98178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Midwives, Inc.
• Ocean Mind and Body
• Lisa Oconnor-Riddle, LCSW
• Oriesa Wiyono Oeij, PA-C
• Linda R Olafson, MD
• Ole Snyder MD a Medical Corporation
• Olive Holdings, LLC (Aviara Healthcare Center)
• Erin Donovan Olsen, P.T.
• Megan Elizabeth Olson, D.D.S
• Genevieve Noel Olucha, PH.D.

• Marriage & Family Therapist in Encinitas, CA
• Providers in Encinitas, 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 Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.