KELLETT TIGHE
NPI 1194323402
Counselor - Addiction (Substance Use Disorder) in Santa Fe Springs, CA
About Kellett Tighe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLETT TIGHE (NPI 1194323402) is an individual addiction (substance use disorder) provider in Santa Fe Springs, California and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellett Tighe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SANTA FE SPGS, CA 90670
SANTA FE SPRINGS, CA 90670
SANTA FE SPRINGS, CA 90670
SANTA FE SPRINGS, CA 90670
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 Kellett Tighe's NPI number?
The NPI number for Kellett Tighe is 1194323402. It was assigned to this individual provider in the NPPES registry on October 9, 2020.
Where is Kellett Tighe located?
Kellett Tighe practices at 10425 Painter Ave, Santa Fe Springs, CA 90670. The listed phone number is (562) 906-2685.
What is Kellett Tighe's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Kellett Tighe enrolled in Medicare?
Yes. Kellett Tighe is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kellett Tighe was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kellett Tighe · NPI 1194323402
Addiction (Substance Use Disorder) provider in Santa Fe Springs, California. Individual provider, active in the CMS NPPES registry since October 9, 2020.
## Identity
- **NPI:** 1194323402 (Entity type: Individual)
- **Enumerated:** October 9, 2020
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10425 PAINTER AVE, Santa Fe Springs, CA 90670-3429
- **Phone:** (562) 906-2685
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194323402) · Data from the CMS NPPES public registry.