Kim Erin Kelly, MA, LMFT, LPAT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC48966 Issued in CA

Practice address

333 S Juniper St
#115
Escondido, CA 92025-4924

Phone

(760) 420-5439

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1740380633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST # 115",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "760-420-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST",
            "address_2": "#115",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "760-420-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KIM",
        "middle_name": "ERIN",
        "credential": "MA, LMFT, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "4067",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kelley, PT, DPT
• Rachel Porfirio Kelley, IMF
• Shannie Nicole Kelley, RN
• Kellogg Beach Holdings LLC
• Channa Roos Kelly
• Savannah Kendig
• Keneks Therapy, Speech Therapy Corporation
• Jessica Megan Kenitzer-Eurich, AMFT
• Amanda Kennedy, M.S. CCC-SLP
• Clara Kennedy

• Marriage & Family Therapist in Escondido, CA
• Providers in Escondido, 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 Oct 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.