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KEVIN KELLEY L.M.F.T.
NPI 1043550130
Marriage & Family Therapist in Los Angeles, CA

Active since February 26, 2013Opted out of Medicare · through Jan 1, 2028
2330 BEVERLY BLVD, LOS ANGELES, CA 90057(213) 381-0534 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Kelley L.m.f.t. NPPES

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

KEVIN KELLEY L.M.F.T. (NPI 1043550130) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFC 47853) and active in the NPI registry since February 2013. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1043550130
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEVIN KELLEYCredential: L.M.F.T.
Location Address2330 BEVERLY BLVDLos Angeles, CA 90057-2220
Mailing Address2330 Beverly BlvdLos Angeles, CA 90057-2220 · (213) 381-0534 · Fax (213) 748-2432
Phone(213) 381-0534
Sole ProprietorNo
Enumeration DateFebruary 26, 2013
✔ NPI 1043550130 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 · MFC 47853
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.
2330 BEVERLY BLVD, Los Angeles, CA 90057
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Kelley L.m.f.t. 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONITA SIMPKINS
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 544-0814
ROSEMARY CELIS COBARRUBIAS CADC-CAS
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 744-0724
MRS. THERESE NICOLE ARSOLA
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (562) 467-3213
JERRY LEE ALBRIGHT SUDRC
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 744-0724
JEROME ROBERT MCMURRAY
Rehabilitation Practitioner
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 381-0518
ROBERT DELTON
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 381-0511
TARYN MCGOWN
Student in an Organized Health Care Education/Training Program
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 744-0724
VIRGINIA ROBLES
Counselor (Addiction (Substance Use Disorder))
2330 BEVERLY BLVD
LOS ANGELES, CA 90057
Los Angeles County (213) 814-8396

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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1043550130. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Where is Kevin Kelley located?

Kevin Kelley practices at 2330 Beverly Blvd, Los Angeles, CA 90057. The listed phone number is (213) 381-0534.

What is Kevin Kelley's specialty?

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

Is Kevin Kelley enrolled in Medicare?

No. Kevin Kelley has opted out of Medicare through January 1, 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 Kevin Kelley was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.