KELSEY LYNN COLLINS
NPI 1295279453
Marriage & Family Therapist in South Pasadena, CA

Active since December 07, 2016Opted out of Medicare · through Jan 21, 2028
1621 AMBERWOOD DR APT B, SOUTH PASADENA, CA 91030(951) 456-2287 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2020, May 17, 2017 (2 updates tracked since 2017).

About Kelsey Lynn Collins NPPES

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

KELSEY LYNN COLLINS (NPI 1295279453) is an individual marriage & family therapist in South Pasadena, California, licensed in California (LMFT112953) and active in the NPI registry since December 2016. She has opted out of Medicare through January 21, 2028.

NPPES Registry Identity

NPI1295279453
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELSEY LYNN COLLINS
Location Address1621 AMBERWOOD DR APT BSouth Pasadena, CA 91030-1903
Mailing Address1621 Amberwood Dr Apt BSouth Pasadena, CA 91030-1903 · (951) 456-2287
Sole ProprietorYes
Enumeration DateDecember 7, 2016
Last NPPES UpdateNovember 21, 20202 updates tracked since enumeration
NPPES CertifiedNovember 21, 2020
NPI 1295279453 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 · LMFT112953
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.
1621 AMBERWOOD DR APT B, South Pasadena, CA 91030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelsey Lynn Collins 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 21, 2024 through January 21, 2028.

Opt-Out Effective DateJanuary 21, 2024
Opt-Out In Effect ThroughJanuary 21, 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.

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 Collins's NPI number?

The NPI number for Kelsey Collins is 1295279453. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Kelsey Collins located?

Kelsey Collins practices at 1621 Amberwood Dr Apt B, South Pasadena, CA 91030. The listed phone number is (951) 456-2287.

What is Kelsey Collins's specialty?

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

Is Kelsey Collins enrolled in Medicare?

No. Kelsey Collins has opted out of Medicare through January 21, 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 Kelsey Collins was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.