Kelly Hart

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT134633 Issued in CA

Practice address

3030 E Colorado Blvd Ste 214
Pasadena, CA 91107-3840

Phone

(626) 385-6121

NPI assigned

Oct 11, 2022

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 8, 2024 through Jan 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659096642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-244-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E COLORADO BLVD STE 214",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-385-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT134633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@thecenterforconnection.org",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3030 E Colorado Blvd Ste 214",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911073840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Gregory Harris, M.D.
• Xiaoli Harris, MASSAGE THERAPY
• Rosalind Harrison
• William Vincent Harrity, M.D.
• Keeley C Hart
• Matthew H. Hart, M.D.
• Immanuel Hartsfield
• Tina I Harutunians, D.O.
• Mary Harutyunian
• Danielle Harvey

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, 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 Jun 25, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.