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MS. KELLER LEE RICH LMFT
NPI 1194163774
Marriage & Family Therapist in San Diego, CA

Active since June 05, 2013Opted out of Medicare · through Dec 18, 2026
5060 SHOREHAM PL STE 100, SAN DIEGO, CA 92122(858) 221-0344(949) 703-7489 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Jun 12, 2019 (2 updates tracked since 2019).

About Ms. Keller Lee Rich Lmft NPPES

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

MS. KELLER LEE RICH LMFT (NPI 1194163774) is an individual marriage & family therapist in San Diego, California, licensed in California (95120) and active in the NPI registry since June 2013. She has opted out of Medicare through December 18, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194163774
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KELLER LEE RICHCredential: LMFT
Location Address5060 SHOREHAM PL STE 100San Diego, CA 92122-5904
Mailing Address5060 Shoreham Pl Ste 100San Diego, CA 92122-5904 · (858) 221-0344 · Fax (949) 703-7489
Phone(858) 221-0344
Fax(949) 703-7489
Sole ProprietorYes
Enumeration DateJune 5, 2013
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1194163774 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 · 95120
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5060 SHOREHAM PL STE 100, San Diego, CA 92122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Keller Lee Rich Lmft 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 December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-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 13

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

MARISA PROVENZANO LCSW
Social Worker (Clinical)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (877) 840-6956
ELIZABETH POWER MFT
Marriage & Family Therapist
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (858) 427-5060
SARITA SHAH MD, PHD
Psychiatry & Neurology (Psychiatry)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (210) 386-3614
CHRISTINE M BLALOCK LCSW
Social Worker (Clinical)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (866) 657-6592
MS. TONI ANN LOCKE FNP
Nurse Practitioner (Family)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (858) 427-5060
CHRISTINE COSTELLO
Social Worker
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (858) 427-5060
MIHIR ASHOK UPADHYAYA MD
Psychiatry & Neurology (Psychiatry)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (858) 427-5060
SHASHITA INAMDAR MD PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
San Diego County (858) 221-0344

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 Keller Rich's NPI number?

The NPI number for Keller Rich is 1194163774. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Keller Rich located?

Keller Rich practices at 5060 Shoreham Pl Ste 100, San Diego, CA 92122. The listed phone number is (858) 221-0344.

What is Keller Rich's specialty?

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

Is Keller Rich enrolled in Medicare?

No. Keller Rich has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Keller Rich was last updated on August 28, 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.