VIVIAN FIGUEROA KELLY
NPI 1093190498
Counselor - Mental Health in Los Gatos, CA

Q: What is Vivian Kelly's NPI number?

The NPI number for Vivian Kelly is 1093190498. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Q: What is Vivian Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Kelly was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since July 27, 2015PECOS Enrolled

1484 POLLARD RD # 3049, LOS GATOS, CA 95032(408) 426-9525 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Jun 6, 2022, Dec 17, 2015 (3 updates tracked since 2015).

On this page

About Vivian Figueroa Kelly NPPES

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

VIVIAN FIGUEROA KELLY (NPI 1093190498) is an individual mental health provider in Los Gatos, California, licensed in California (LCSW92879) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093190498

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameVIVIAN FIGUEROA KELLY

Location Address1484 POLLARD RD # 3049Los Gatos, CA 95032-1031

Mailing Address1484 Pollard Rd # 3049Los Gatos, CA 95032-1031 · (408) 426-9525

Phone(408) 426-9525

Sole ProprietorYes

Enumeration DateJuly 27, 2015

Last NPPES UpdateNovember 1, 20243 updates tracked since enumeration

NPPES CertifiedNovember 1, 2024

✔ NPI 1093190498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · LCSW92879

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1484 POLLARD RD # 3049, Los Gatos, CA 95032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Vivian Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC

6.8 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Spread Your Wings For Mental Health Inc

7.9 mi

Psychiatry

570 BLOSSOM HILL RD
San Jose, CA 95123

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1760969539 (855) 799-4647

Sud Specialty Group - Ca

9.2 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

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 Vivian Kelly's NPI number?

The NPI number for Vivian Kelly is 1093190498. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Vivian Kelly located?

Vivian Kelly practices at 1484 Pollard Rd # 3049, Los Gatos, CA 95032. The listed phone number is (408) 426-9525.

What is Vivian Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Vivian Kelly enrolled in Medicare?

Yes. Vivian Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vivian Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Kelly reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Spread Your Wings For Mental Health Inc (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Vivian Kelly'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 Vivian Kelly was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.