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SUSAN KELSEY, MFT, RPT-S
NPI 1144450800
Marriage & Family Therapist in Costa Mesa, CA

Active since July 15, 2009Opted out of Medicare · through Jan 19, 2028
2900 BRISTOL ST, SUITE G-101, COSTA MESA, CA 92626(949) 878-6744(949) 831-8088 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Kelsey, Mft, Rpt-s NPPES

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

SUSAN KELSEY, MFT, RPT-S (NPI 1144450800) is a healthcare organization registered as a marriage & family therapist in Costa Mesa, California and active in the NPI registry since July 2009. The organization has opted out of Medicare through January 19, 2028 and lists Susan Allison Kelsey, Marriage And Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1144450800
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameSUSAN KELSEY, MFT, RPT-S
Location Address2900 BRISTOL ST, SUITE G-101Costa Mesa, CA 92626-5981
Mailing Address2900 Bristol St, Suite G-101Costa Mesa, CA 92626-5981 · (949) 878-6744 · Fax (949) 831-8088
Phone(949) 878-6744
Fax(949) 831-8088
Organization SubpartNo
Authorized OfficialSusan Allison KelseyMarriage And Family Therapist · (949) 878-6744
Enumeration DateJuly 15, 2009
✔ NPI 1144450800 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 · MFC38488
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.

2900 BRISTOL ST, Costa Mesa, CA 92626
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Kelsey, Mft, Rpt-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 January 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 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.

STEVEN MITCHELL FEINGOLD D.C
Chiropractor
2900 BRISTOL ST, C105
COSTA MESA, CA 92626
Orange County (714) 557-9454
RACHAEL TARFMAN-PEREZ MFT
Marriage & Family Therapist
2900 BRISTOL ST, SUITE G201
COSTA MESA, CA 92626
Orange County (714) 478-2996
MS. DEBRA HELEN SOLSENG MFT
Marriage & Family Therapist
2900 BRISTOL ST, J-204
COSTA MESA, CA 92626
Orange County (949) 701-5930
CAROL J TIMMONS
Clinic/Center (Adult Mental Health)
2900 BRISTOL ST, BLDG. J-206
COSTA MESA, CA 92626
Orange County (714) 751-3370
COMPETENT CAREGIVING
Home Health
2900 BRISTOL ST, SUITE D108
COSTA MESA, CA 92626
Orange County (800) 755-4818
SUKUT DENTAL, INC.
Dentist (General Practice)
2900 BRISTOL ST, SUITE C-102
COSTA MESA, CA 92626
Orange County (714) 540-6852
DR. JAY GATTIS PSY.D.
Psychologist (Clinical)
2900 BRISTOL ST, STE A108
COSTA MESA, CA 92626
Orange County (714) 432-0042
MARYAM KAZI
Marriage & Family Therapist
2900 BRISTOL ST
COSTA MESTA, CA 92626
Orange County (949) 436-6841

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 Susan Kelsey, Mft, Rpt-S's NPI number?

The NPI number for Susan Kelsey, Mft, Rpt-S is 1144450800. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Susan Kelsey, Mft, Rpt-S located?

Susan Kelsey, Mft, Rpt-S is located at 2900 Bristol St Suite G-101, Costa Mesa, CA 92626. The listed phone number is (949) 878-6744.

What is Susan Kelsey, Mft, Rpt-S's specialty?

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

Is Susan Kelsey, Mft, Rpt-S enrolled in Medicare?

No. Susan Kelsey, Mft, Rpt-S has opted out of Medicare through January 19, 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 Susan Kelsey, Mft, Rpt-S was last updated on July 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.