KELLEY LYNN PHELPS
NPI 1194088807
Marriage & Family Therapist in Murphys, CA

Active since June 18, 2012Opted out of Medicare · through Mar 1, 2028
788 ALGIERS ST, MURPHYS, CA 95247(415) 758-0366 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Lynn Phelps NPPES

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

KELLEY LYNN PHELPS (NPI 1194088807) is an individual marriage & family therapist in Murphys, California, licensed in California (LMFT98984) and active in the NPI registry since June 2012. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1194088807
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLEY LYNN PHELPS
Location Address788 ALGIERS STMurphys, CA 95247-9583
Mailing Address788 Algiers StMurphys, CA 95247-9583
Sole ProprietorYes
Enumeration DateJune 18, 2012
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
NPI 1194088807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · LMFT98984 Licensed in CA · 77190
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.
788 ALGIERS ST, Murphys, CA 95247

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelley Lynn Phelps 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 February 29, 2024 through March 1, 2028.

Opt-Out Effective DateFebruary 29, 2024
Opt-Out In Effect ThroughMarch 1, 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.

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 Kelley Phelps's NPI number?

The NPI number for Kelley Phelps is 1194088807. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Kelley Phelps located?

Kelley Phelps practices at 788 Algiers St, Murphys, CA 95247. The listed phone number is (415) 758-0366.

What is Kelley Phelps's specialty?

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

Is Kelley Phelps enrolled in Medicare?

No. Kelley Phelps has opted out of Medicare through March 1, 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 Kelley Phelps was last updated on October 28, 2022. 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.