Individual provider Active NPI

Kelly Ann Havlin, M.A

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1629400627
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104473 Issued in CA
Practice address
776 E Green St Ste 205
Pasadena, CA 91101-5405
Phone
(626) 765-7506
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 104473 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

776 E Green St Ste 205
Pasadena, CA 91101-5405

Mailing address

776 E Green St Ste 205
Pasadena, CA 91101-5405
Phone (626) 765-7506

Other practice location 1

776 E Green St Ste 205
Pasadena, CA 91101-5405
Phone (626) 765-7506

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
104473CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1629400627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 E GREEN ST STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015405",
            "telephone_number": "626-765-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E GREEN ST STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015405",
            "telephone_number": "626-765-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 E Green St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911015405",
            "country_code": "US",
            "telephone_number": "626-765-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVLIN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104473",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.