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HOLLY ELIZABETH KELLEY LMFT
NPI 1215417811
Marriage & Family Therapist in San Diego, CA

Active since August 14, 2018Opted out of Medicare · through Jan 1, 2028
3033 FIFTH AVE STE 235, SAN DIEGO, CA 92103(619) 819-0283 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2021, Aug 14, 2018 (2 updates tracked since 2018).

About Holly Elizabeth Kelley Lmft NPPES

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

HOLLY ELIZABETH KELLEY LMFT (NPI 1215417811) is an individual marriage & family therapist in San Diego, California, licensed in California (110366) and active in the NPI registry since August 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1215417811
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHOLLY ELIZABETH KELLEYCredential: LMFT
Location Address3033 FIFTH AVE STE 235San Diego, CA 92103-5873
Mailing Address3033 Fifth Ave Ste 234San Diego, CA 92103-5873
Phone(619) 819-0283
Sole ProprietorNo
Enumeration DateAugust 14, 2018
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1215417811 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 · 110366
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.
3033 FIFTH AVE STE 235, San Diego, CA 92103
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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

Holly Elizabeth Kelley 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 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.

Other Providers at the Same Location NPPES

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

MS. ERICA LESLIE THOMPSON LMFT, LPCC
Marriage & Family Therapist
3033 FIFTH AVE STE 235
SAN DIEGO, CA 92103
San Diego County (858) 609-9115

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 Holly Kelley's NPI number?

The NPI number for Holly Kelley is 1215417811. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Holly Kelley located?

Holly Kelley practices at 3033 Fifth Ave Ste 235, San Diego, CA 92103. The listed phone number is (619) 819-0283.

What is Holly Kelley's specialty?

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

Is Holly Kelley enrolled in Medicare?

No. Holly Kelley has opted out of Medicare through January 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 Holly Kelley was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.