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KELLY MILTENBERGER LPCC
NPI 1063194363
Counselor - Professional in Glendora, CA

Active since August 04, 2023PECOS Enrolled
537 N PENNSYLVANIA AVE, GLENDORA, CA 91741(626) 833-7752 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063194363
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY MILTENBERGERCredential: LPCC
Location Address537 N PENNSYLVANIA AVEGlendora, CA 91741-2041
Mailing Address537 N Pennsylvania AveGlendora, CA 91741-2041 · (626) 833-7752
Phone(626) 833-7752
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 4, 2023
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1063194363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 9532
537 N PENNSYLVANIA AVE, Glendora, CA 91741
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Miltenberger Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395231617
PECOS Enrollment IDI20260106003542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 2 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.