KELLY L DELICH
NPI 1225152879
Marriage & Family Therapist in Los Angeles, CA

Q: What is Kelly Delich's NPI number?

The NPI number for Kelly Delich is 1225152879. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Kelly Delich's specialty?

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

Q: Is Kelly Delich enrolled in Medicare?

No. Kelly Delich has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly Delich was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 19, 2007Opted out of Medicare · through Feb 7, 2028

3200 MOTOR AVE, LOS ANGELES, CA 90034(310) 836-1223 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly L Delich NPPES

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

KELLY L DELICH (NPI 1225152879) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT48963) and active in the NPI registry since March 2007. She has opted out of Medicare through February 7, 2028.

NPPES Registry Identity

NPI1225152879

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY L DELICH

Location Address3200 MOTOR AVELos Angeles, CA 90034-3710

Mailing Address1590 Rosecrans Ave, Suite D 501Manhattan Beach, CA 90266-3727

Phone(310) 836-1223

Sole ProprietorNo

Enumeration DateMarch 19, 2007

Last NPPES UpdateMay 16, 2016

✔ NPI 1225152879 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 · LMFT48963

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.

3200 MOTOR AVE, Los Angeles, CA 90034

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelly L Delich 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 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024

Opt-Out In Effect ThroughFebruary 7, 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.

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