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KELLY SUE PACHECO- GAGNER M.S., LPCC
NPI 1437661402
Counselor - Professional in Los Angeles, CA

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
6200 WILSHIRE BLVD STE 1410, LOS ANGELES, CA 90048(925) 282-1778 Get Directions Write a Review

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

Record update history: Dec 30, 2019, Oct 31, 2017 (2 updates tracked since 2017).

About Kelly Sue Pacheco- Gagner M.s., Lpcc NPPES

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

KELLY SUE PACHECO- GAGNER M.S., LPCC (NPI 1437661402) is an individual professional provider in Los Angeles, California, licensed in California (17859) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437661402
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY SUE PACHECO- GAGNERCredential: M.S., LPCC
Location Address6200 WILSHIRE BLVD STE 1410Los Angeles, CA 90048-5815
Mailing Address6200 Wilshire Blvd Ste 1410Los Angeles, CA 90048-5815 · (925) 282-1778
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 31, 2017
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1437661402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · 17859✔ Licensed in OR · C9686
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 17859 (CA)
6200 WILSHIRE BLVD STE 1410, Los Angeles, CA 90048
Open in Google Maps ↗

Other Names 1

Professional Name (2)Kelly Pacheco-gagner M.s., Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Kelly Sue Pacheco- Gagner M.s., Lpcc 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 ID2264958347
PECOS Enrollment IDI20250501001937
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 20

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

RUFINA SANDOVAL LCSW
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MR. ROBERT JAMES FITZGERALD LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MS. KARLA ANN BARNETT LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
AMAUNI PAULA BAKER LMFT
Marriage & Family Therapist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MICHAEL C KANG MD
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
JERRELL LEE MITCHELL DO
Psychiatry & Neurology (Psychiatry)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
DR. BRIAN CID CHAO PSYD
Psychologist
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (925) 282-1778
MIRIAM STONE LCSW
Social Worker (Clinical)
6200 WILSHIRE BLVD STE 1410
LOS ANGELES, CA 90048
Los Angeles County (424) 284-2440

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 Pacheco- Gagner's NPI number?

The NPI number for Kelly Pacheco- Gagner is 1437661402. It was assigned to this individual provider in the NPPES registry on October 31, 2017. The provider is also known as Kelly Pacheco-Gagner M.S., Lpcc.

Where is Kelly Pacheco- Gagner located?

Kelly Pacheco- Gagner practices at 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048. The listed phone number is (925) 282-1778.

What is Kelly Pacheco- Gagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Pacheco- Gagner enrolled in Medicare?

Yes. Kelly Pacheco- Gagner 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 Kelly Pacheco- Gagner accept?

Health plans from Providence Health Plan list Kelly Pacheco- Gagner 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 Kelly Pacheco- Gagner was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.