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KELSEY JEANNE GAVIN LMFT
NPI 1275087249
Marriage & Family Therapist in Long Beach, CA

Active since August 08, 2016PECOS EnrolledAccepts Medicare Assignment
4500 E PACIFIC COAST HWY STE 320, LONG BEACH, CA 90804(925) 282-1778 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Aug 8, 2016 (2 updates tracked since 2016).

About Kelsey Jeanne Gavin Lmft NPPES

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

KELSEY JEANNE GAVIN LMFT (NPI 1275087249) is an individual marriage & family therapist in Long Beach, California, licensed in California (129839) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tarzana, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275087249
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELSEY JEANNE GAVINCredential: LMFT
Location Address4500 E PACIFIC COAST HWY STE 320Long Beach, CA 90804-3271
Mailing Address4500 E Pacific Coast Hwy Ste 320Long Beach, CA 90804-3271
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2016
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1275087249 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 · 129839
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.
4500 E PACIFIC COAST HWY STE 320, Long Beach, CA 90804
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Secondary Practice Location 1

Location 118646 Oxnard StTarzana, CA 91356-1411 · Phone (818) 996-1051

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Jeanne Gavin Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325588635
PECOS Enrollment IDI20240912001796
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Gavin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
359 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. LINDSAY DENISE TOMS LMFT
Marriage & Family Therapist
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
TYISHA RENEE FLETCHER PMHNP - BC
Nurse Practitioner (Psychiatric/Mental Health)
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
BREEANNE ELYSE WOODS LMFT
Marriage & Family Therapist
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
MAKENNA LEIGH BRICENO LMFT
Marriage & Family Therapist
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
MICHAEL J. CHINDAMO PSY.D
Psychologist (Clinical)
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
LINH TRAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (424) 284-2440
MELISSA E MOTT LCSW
Social Worker (Clinical)
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778
JADE WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4500 E PACIFIC COAST HWY STE 320
LONG BEACH, CA 90804
Los Angeles County (925) 282-1778

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 Kelsey Gavin's NPI number?

The NPI number for Kelsey Gavin is 1275087249. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Kelsey Gavin located?

Kelsey Gavin practices at 4500 E Pacific Coast Hwy Ste 320, Long Beach, CA 90804. The listed phone number is (925) 282-1778.

What is Kelsey Gavin's specialty?

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

Is Kelsey Gavin enrolled in Medicare?

Yes. Kelsey Gavin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelsey Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Gavin reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Gavin 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 2 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.