KELLY TARBELL LMFT - NPI 1366006454 - Marriage & Family Therapist in San Diego, CA

Q: What is Kelly Tarbell's NPI number?

The NPI number for Kelly Tarbell is 1366006454. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Kelly Tarbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Tarbell was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

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About Kelly Tarbell Lmft NPPES

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

KELLY TARBELL LMFT (NPI 1366006454) is an individual marriage & family therapist in San Diego, California, licensed in California (149473) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366006454

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY TARBELLCredential: LMFT

Location Address4550 KEARNY VILLA RD STE 118San Diego, CA 92123-1574

Mailing Address3245 University Ave Ste 1-267San Diego, CA 92104-2009 · (619) 721-3296

Phone(619) 721-3296

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 24, 2019

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1366006454 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 · 149473

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.

4550 KEARNY VILLA RD STE 118, San Diego, CA 92123

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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 and accepts Medicare assignment

Kelly Tarbell Lmft 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 ID9638665359

PECOS Enrollment IDI20260102000550

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 5

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

ALEXA THEODORA DOUROS

Counselor (Mental Health)