KELLY MILTENBERGER LPCC
NPI 1063194363
Counselor - Professional in Glendora, CA
About Kelly Miltenberger Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MILTENBERGER LPCC (NPI 1063194363) is an individual professional provider in Glendora, California, licensed in California (9532) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Miltenberger Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Miltenberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kelly Miltenberger's NPI number?
The NPI number for Kelly Miltenberger is 1063194363. It was assigned to this individual provider in the NPPES registry on August 4, 2023.
Where is Kelly Miltenberger located?
Kelly Miltenberger practices at 537 N Pennsylvania Ave, Glendora, CA 91741. The listed phone number is (626) 833-7752.
What is Kelly Miltenberger's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Miltenberger enrolled in Medicare?
Yes. Kelly Miltenberger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Miltenberger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Miltenberger reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Miltenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Miltenberger was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelly Miltenberger, LPCC · NPI 1063194363
Professional provider in Glendora, California. Individual provider, active in the CMS NPPES registry since August 4, 2023.
## Identity
- **NPI:** 1063194363 (Entity type: Individual)
- **Enumerated:** August 4, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 9532 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 537 N PENNSYLVANIA AVE, Glendora, CA 91741-2041
- **Phone:** (626) 833-7752
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063194363) · Data from the CMS NPPES public registry.