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REANNON MARIE KETABIAN LMFT
NPI 1316390065
Marriage & Family Therapist in Valley Center, CA

Active since July 18, 2016Opted out of Medicare · through Jan 1, 2028
10556 OLD CASTLE RD, VALLEY CENTER, CA 92082(831) 239-1566 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reannon Marie Ketabian Lmft NPPES

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

REANNON MARIE KETABIAN LMFT (NPI 1316390065) is an individual marriage & family therapist in Valley Center, California, licensed in California (93397) and active in the NPI registry since July 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1316390065
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameREANNON MARIE KETABIANCredential: LMFT
Location Address10556 OLD CASTLE RDValley Center, CA 92082-5609
Mailing AddressPo Box 805Valley Center, CA 92082-0805 · (858) 829-8206
Phone(831) 239-1566
Sole ProprietorNo
Enumeration DateJuly 18, 2016
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1316390065 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 · 93397
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.
10556 OLD CASTLE RD, Valley Center, CA 92082
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Other Names 1

Former Name (1)Reannon Marie Kerwood

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Reannon Marie Ketabian 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

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 Reannon Ketabian's NPI number?

The NPI number for Reannon Ketabian is 1316390065. It was assigned to this individual provider in the NPPES registry on July 18, 2016. The provider is also known as Reannon Marie Kerwood.

Where is Reannon Ketabian located?

Reannon Ketabian practices at 10556 Old Castle Rd, Valley Center, CA 92082. The listed phone number is (831) 239-1566.

What is Reannon Ketabian's specialty?

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

Is Reannon Ketabian enrolled in Medicare?

No. Reannon Ketabian 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 Reannon Ketabian was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.