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KEALY SPRING M.S.
NPI 1023455003
Marriage & Family Therapist in San Francisco, CA

Active since May 30, 2013Opted out of Medicare · through Jul 15, 2028
2290 STOCKTON ST APT 401, SAN FRANCISCO, CA 94133(415) 847-3915 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 31, 2023, Oct 31, 2018 (2 updates tracked since 2018).

About Kealy Spring M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEALY SPRING M.S. (NPI 1023455003) is an individual marriage & family therapist in San Francisco, California, licensed in California (71221) and active in the NPI registry since May 2013. She has opted out of Medicare through July 15, 2028.

NPPES Registry Identity

NPI1023455003
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKEALY SPRINGCredential: M.S.
Location Address2290 STOCKTON ST APT 401San Francisco, CA 94133-1515
Mailing Address2290 Stockton St Apt 401San Francisco, CA 94133-1515 · (415) 847-3915
Phone(415) 847-3915
Sole ProprietorNo
Enumeration DateMay 30, 2013
Last NPPES UpdateOctober 31, 20182 updates tracked since enumeration
✔ NPI 1023455003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 71221
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2290 STOCKTON ST APT 401, San Francisco, CA 94133
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kealy Spring M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2024 through July 15, 2028.

Opt-Out Effective DateJuly 15, 2024
Opt-Out In Effect ThroughJuly 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kealy Spring's NPI number?

The NPI number for Kealy Spring is 1023455003. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Kealy Spring located?

Kealy Spring practices at 2290 Stockton St Apt 401, San Francisco, CA 94133. The listed phone number is (415) 847-3915.

What is Kealy Spring's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kealy Spring enrolled in Medicare?

No. Kealy Spring has opted out of Medicare through July 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kealy Spring was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.