IAN KELLY
NPI 1336506781
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since January 15, 2016PECOS EnrolledAccepts Medicare Assignment
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730(909) 771-8023 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2018, Jan 15, 2016 (2 updates tracked since 2016).

About Ian Kelly NPPES

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

IAN KELLY (NPI 1336506781) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (105802) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336506781
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameIAN KELLY
Location Address9479 HAVEN AVERancho Cucamonga, CA 91730-5844
Mailing Address9479 Haven AveRancho Cucamonga, CA 91730-5844
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 15, 2016
Last NPPES UpdateDecember 12, 20182 updates tracked since enumeration
NPI 1336506781 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 · 105802
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.

9479 HAVEN AVE, Rancho Cucamonga, CA 91730

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ian Kelly 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 ID7911347489
PECOS Enrollment IDI20240501000453
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.

Other Providers at the Same Location NPPES 16

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Psychiatry & Neurology (Psychiatry)
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Dietitian, Registered
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Marriage & Family Therapist
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Dietitian, Registered
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Marriage & Family Therapist
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730

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 Ian Kelly's NPI number?

The NPI number for Ian Kelly is 1336506781. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Ian Kelly located?

Ian Kelly practices at 9479 Haven Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 771-8023.

What is Ian Kelly's specialty?

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

Is Ian Kelly enrolled in Medicare?

Yes. Ian Kelly 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.

What insurance does Ian Kelly accept?

Health plans from Providence Health Plan list Ian Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Kelly was last updated on December 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.