Kelly Lewallen, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37832 Issued in CA

Practice address

44672 Monterey Ave
Palm Desert, CA 92260-3326

Phone

(760) 777-7720

NPI assigned

Apr 25, 2010

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

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

Specialty

Marriage and Family Therapist

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Desert Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • Palm Desert, CA
  • NPI 1568899417
  Medicare reassignment NPD
• Desert Marriage Family Counseling Inc

  • Adult Mental Health Clinic/Center
  • Palm Desert, CA
  • NPI 1730721358
  NPD

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

{
    "created_epoch": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272153600000",
    "number": "1346567773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6753",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922486753",
            "telephone_number": "760-777-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44672 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326",
            "telephone_number": "760-777-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "KELLY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-25",
        "last_updated": "2010-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "37832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Leitman, PH D PSYCHOLOGY
• Karolina Lemus
• Jonne Arkin Lerner, PH.D
• Robert H Lesnik, M.D.
• Briana Sarai Lewallen, MSW, PPSC, LCSW
• Wyatt Lewallen, LMFT
• Kayla Elizabeth Lewis
• Kelli L. Lewis
• Lucia Insingo Lewis
• Isaac Fernando Leyva Felix

• Marriage & Family Therapist in Palm Desert, CA
• Providers in Palm Desert, 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 Apr 25, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.