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KELLY KIMBERLY HANZY BA
NPI 1164626339
Marriage & Family Therapist in Sacramento, CA

Active since June 12, 2007PECOS Enrolled
3065 FREEPORT BLVD STE 11, SACRAMENTO, CA 95818(916) 767-1312 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Nov 3, 2020, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Kelly Kimberly Hanzy Ba NPPES

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

KELLY KIMBERLY HANZY BA (NPI 1164626339) is an individual marriage & family therapist in Sacramento, California, licensed in California (137403) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164626339
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY KIMBERLY HANZYCredential: BA
Location Address3065 FREEPORT BLVD STE 11Sacramento, CA 95818-4347
Mailing AddressPo Box 348056Sacramento, CA 95834-8056 · (510) 323-5343
Phone(916) 767-1312
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 24, 20234 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1164626339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 137403
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.
Also ListedCounselorTaxonomy 101Y00000X
3065 FREEPORT BLVD STE 11, Sacramento, CA 95818
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Other Names 1

Former Name (1)Kelly Kimberly Rogers

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 Kimberly Hanzy Ba 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.

Other Providers at the Same Location NPPES

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

KELLY K HANZY THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
3065 FREEPORT BLVD STE 11
SACRAMENTO, CA 95818
Sacramento County (916) 767-1312

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 Hanzy's NPI number?

The NPI number for Kelly Hanzy is 1164626339. It was assigned to this individual provider in the NPPES registry on June 12, 2007. The provider is also known as Kelly Kimberly Rogers.

Where is Kelly Hanzy located?

Kelly Hanzy practices at 3065 Freeport Blvd Ste 11, Sacramento, CA 95818. The listed phone number is (916) 767-1312.

What is Kelly Hanzy's specialty?

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

Is Kelly Hanzy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Hanzy was last updated on August 24, 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.