Individual provider Active NPI

Kelly Denise Pollard

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1720714371
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142403 Issued in CA
Practice address
5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569
Phone
(424) 331-9070
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 142403 CA Primary

Addresses

Primary practice location

5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569

Mailing address

5601 W Slauson Ave Ste 192
Culver City, CA 90230-6569
Phone (424) 331-9070

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

State licenses

LicenseStateTypeSpecialty
142403CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services CurrentSince Jul 1, 2022 Accepting new patients
Kohan International Foundation Marriage & Family Therapist PastSince Mar 27, 2015 Accepting new patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist PastSince Dec 14, 2025 Accepting new patients

Locations

505 N Euclid St
Ste 300
Anaheim, CA 92801
Phone (714) 871-5646

222 S Harbor Blvd
Ste 650
Anaheim, CA 92805
Phone (714) 871-5646

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1720714371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 192",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306569",
            "telephone_number": "424-331-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 192",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306569",
            "telephone_number": "424-331-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.