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KELLY DUGGAN SHEARER LMFT
NPI 1205273208
Marriage & Family Therapist in Glendora, CA

Active since May 30, 2013Opted out of Medicare · through Jul 5, 2027
720 CABALLO AVE, GLENDORA, CA 91740(626) 841-9165 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Duggan Shearer Lmft NPPES

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

KELLY DUGGAN SHEARER LMFT (NPI 1205273208) is an individual marriage & family therapist in Glendora, California, licensed in California (MFC45250) and active in the NPI registry since May 2013. She has opted out of Medicare through July 5, 2027.

NPPES Registry Identity

NPI1205273208
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY DUGGAN SHEARERCredential: LMFT
Location Address720 CABALLO AVEGlendora, CA 91740-4537
Mailing AddressPo Box 1703Glendora, CA 91740-1703 · (626) 841-9165
Phone(626) 841-9165
Sole ProprietorYes
Enumeration DateMay 30, 2013
✔ NPI 1205273208 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 · MFC45250
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.
720 CABALLO AVE, Glendora, CA 91740
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Other Identifiers 1

Other264791071CA · Ein

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Duggan Shearer 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 July 5, 2025 through July 5, 2027.

Opt-Out Effective DateJuly 5, 2025
Opt-Out In Effect ThroughJuly 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Shearer's NPI number?

The NPI number for Kelly Shearer is 1205273208. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Kelly Shearer located?

Kelly Shearer practices at 720 Caballo Ave, Glendora, CA 91740. The listed phone number is (626) 841-9165.

What is Kelly Shearer's specialty?

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

Is Kelly Shearer enrolled in Medicare?

No. Kelly Shearer has opted out of Medicare through July 5, 2027. 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 Kelly Shearer was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.