MCKERRIN KELLY
NPI 1285369983
Marriage & Family Therapist in Burbank, CA

Q: What is Mckerrin Kelly's NPI number?

The NPI number for Mckerrin Kelly is 1285369983. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Mckerrin Kelly's specialty?

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

Q: Is Mckerrin Kelly enrolled in Medicare?

No. Mckerrin Kelly has opted out of Medicare through January 5, 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 Mckerrin Kelly was last updated on July 17, 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.

Active since July 18, 2022Opted out of Medicare · through Jan 5, 2028

1201 S VICTORY BLVD STE 206, BURBANK, CA 91502(747) 271-2701 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Jul 18, 2022 (2 updates tracked since 2022).

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About Mckerrin Kelly NPPES

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

MCKERRIN KELLY (NPI 1285369983) is an individual marriage & family therapist in Burbank, California, licensed in California (148098) and active in the NPI registry since July 2022. She has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1285369983

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMCKERRIN KELLY

Location Address1201 S VICTORY BLVD STE 206Burbank, CA 91502-2793

Mailing Address115 N Canyon Blvd Apt AMonrovia, CA 91016-2391 · (323) 788-0704

Phone(747) 271-2701

Sole ProprietorNo

Enumeration DateJuly 18, 2022

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1285369983 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 · 148098

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.

1201 S VICTORY BLVD STE 206, Burbank, CA 91502

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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

Mckerrin Kelly 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 5, 2026 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2026

Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 18

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

RACHEL DOUGLAS

Marriage & Family Therapist