Kirsten Anne Kelly, M.S., LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

226 Avenida de la Grulla Apt 4
San Clemente, CA 92672-5023

Phone

(949) 280-9722

NPI assigned

May 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1790341857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 AVENIDA DE LA GRULLA APT 4",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725023",
            "telephone_number": "949-280-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 AVENIDA DE LA GRULLA APT 4",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725023",
            "telephone_number": "949-280-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KIRSTEN",
        "middle_name": "ANNE",
        "credential": "M.S., LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kavlich, RD, CLEC
• Jensen Satoshi Kaya, DPT, PT
• Michael Murray Kaye
• Jennifer L Keenen, MA, AMFT
• D. Francesca Kelly, LMFT
• Scott Andrew Kelly, SOIDC
• Carisa Kelso
• Catherine Mary Kenolio, LAC
• Lyssa Kerrigan
• Erin Kessler, COTA

• Genetic Counselor (M.S.) in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.