Individual provider Active NPI

Kellye Michelle Houck

  • Massage Therapist
  • Encino, CA
National Provider Identifier
1326965104
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
96145 Issued in CA
Practice address
17000 Ventura Blvd Ste 102
Encino, CA 91316-4149
Phone
(928) 371-3885
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14765 AZ
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 96145 CA Primary

Addresses

Primary practice location

17000 Ventura Blvd Ste 102
Encino, CA 91316-4149

Mailing address

1785 W State Route 89a Ste 1D
Sedona, AZ 86336-5559
Phone (928) 371-3885

Other practice location 1

1785 W State Route 89A Ste 1D
Sedona, AZ 86336-5559
Phone (928) 371-3885

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

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1326965104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STATE ROUTE 89A STE 1D",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365559",
            "telephone_number": "928-371-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 102",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164149",
            "telephone_number": "928-371-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 W State Route 89A Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365559",
            "country_code": "US",
            "telephone_number": "928-371-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "KELLYE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "14765",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "96145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.