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KELLY IRENE FITZGERALD LMFT
NPI 1417201641
Marriage & Family Therapist in San Luis Obispo, CA

Active since November 09, 2012
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4700 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Irene Fitzgerald Lmft NPPES

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

KELLY IRENE FITZGERALD LMFT (NPI 1417201641) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (90724) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1417201641
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY IRENE FITZGERALDCredential: LMFT
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address1735 Mission StSan Francisco, CA 94103-2417 · (415) 226-1775
Phone(805) 781-4700
Sole ProprietorNo
Enumeration DateNovember 9, 2012
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1417201641 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 · 90724
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.
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Providers at the Same Location NPPES 20

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

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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 Fitzgerald's NPI number?

The NPI number for Kelly Fitzgerald is 1417201641. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Where is Kelly Fitzgerald located?

Kelly Fitzgerald practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-4700.

What is Kelly Fitzgerald's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Fitzgerald was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.