Individual provider Active NPI

Kelly Orchard, LMFT77525

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1306104757
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77525 Issued in CA
Practice address
32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6837
Phone
(951) 970-6254
Fax
(951) 710-8680
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 LMFT77525 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6837

Mailing address

32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6837
Phone (951) 970-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003625 CA Practitioner - Marriage and Family Therapist 5496280190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32605 Temecula Pkwy
Suite 207
Temecula, CA 92592-6839
Phone (760) 887-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT77525CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Orchard, Marriage and Family Therapist, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

32605 Temecula Pkwy
Ste 207
Temecula, CA 92592
Phone (760) 887-4444

Organizations & group practices 1

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1306104757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "SUITE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "951-970-6254",
            "fax_number": "951-710-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "SUITE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "951-970-6254",
            "fax_number": "951-710-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCHARD",
        "first_name": "KELLY",
        "credential": "LMFT77525",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.