Individual provider Active NPI

Jamie G. Kelley, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1306155387
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48430 Issued in CA
Practice address
5301 Office Park Dr Ste 225
Bakersfield, CA 93309-0666
Phone
(661) 619-5021
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 48430 CA Primary

Addresses

Primary practice location

5301 Office Park Dr Ste 225
Bakersfield, CA 93309-0666

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000
Phone (661) 868-6101

Other practice location 1

1401 L Street
Bakersfield, CA 93302-1000
Phone (661) 868-6101

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
I20240417000029 CA Practitioner - Marriage and Family Therapist 2860831344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Marriage & Family Therapist CurrentSince Feb 18, 2024 Accepting new patients
County of Kern Marriage & Family Therapist CurrentSince Feb 18, 2024 Accepting new patients
County of Kern Marriage & Family Therapist Current Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 3

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1306155387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-868-6101",
            "fax_number": "661-868-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 OFFICE PARK DR STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090666",
            "telephone_number": "661-619-5021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 L Street",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933021000",
            "country_code": "US",
            "telephone_number": "661-868-6101",
            "fax_number": "661-868-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JAMIE",
        "middle_name": "G.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.