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KELLY LEWALLEN MFT
NPI 1346567773
Marriage & Family Therapist in Palm Desert, CA

Active since April 25, 2010PECOS Enrolled
44672 MONTEREY AVE, PALM DESERT, CA 92260(760) 777-7720 Get Directions Write a Review

NPPES record last updated: April 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Lewallen Mft NPPES

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

KELLY LEWALLEN MFT (NPI 1346567773) is an individual marriage & family therapist in Palm Desert, California, licensed in California (37832) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1346567773
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY LEWALLENCredential: MFT
Location Address44672 MONTEREY AVEPalm Desert, CA 92260-3326
Mailing AddressPo Box 6753La Quinta, CA 92248-6753 · (760) 777-7720
Phone(760) 777-7720
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateApril 25, 2010
✔ NPI 1346567773 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 · 37832
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.
44672 MONTEREY AVE, Palm Desert, CA 92260
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lewallen Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466952882
PECOS Enrollment IDI20250821000163
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.

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 Kelly Lewallen's NPI number?

The NPI number for Kelly Lewallen is 1346567773. It was assigned to this individual provider in the NPPES registry on April 25, 2010.

Where is Kelly Lewallen located?

Kelly Lewallen practices at 44672 Monterey Ave, Palm Desert, CA 92260. The listed phone number is (760) 777-7720.

What is Kelly Lewallen's specialty?

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

Is Kelly Lewallen enrolled in Medicare?

Yes. Kelly Lewallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Lewallen was last updated on April 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.