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KAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
NPI 1437963485
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Diego, CA

Active since February 01, 2025
3033 FIFTH AVE STE 230, SAN DIEGO, CA 92103(323) 628-8452 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaelyn Marie Licensed Professional Clinical Counselor Inc NPPES

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

KAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC (NPI 1437963485) is a healthcare organization registered as a mental health (including community mental health center) in San Diego, California and active in the NPI registry since February 2025. The organization lists Kaelyn Kennedy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437963485
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKAELYN MARIE LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Location Address3033 FIFTH AVE STE 230San Diego, CA 92103-5873
Mailing Address3033 Fifth Ave Ste 230San Diego, CA 92103-5873 · (509) 951-2783
Phone(323) 628-8452
Organization SubpartNo
Authorized OfficialKaelyn KennedyCeo · (509) 951-2783
Enumeration DateFebruary 1, 2025
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1437963485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3033 FIFTH AVE STE 230, San Diego, CA 92103
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Other Providers at the Same Location NPPES 7

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

CANVAS OF POSSIBILITIES PSYCHOLOGICAL SERVICES INC.
Clinic/Center (Adult Mental Health)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (858) 805-5302
CAITLIN MORONEY
Psychologist
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 821-9530
KAELYN MARIE KENNEDY
Counselor (Professional)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (760) 374-4295
JESSICA M WILSON
Counselor (Mental Health)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (971) 808-4117
ALYSSA HUSTWICK
Psychologist (Clinical)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 953-7484
CONNECT PSYCHOLOGY INC
Psychologist (Clinical)
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (530) 400-7973
DR. KAYLA BEARD
Psychologist
3033 FIFTH AVE STE 230
SAN DIEGO, CA 92103
San Diego County (619) 746-8686

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 Kaelyn Marie Licensed Professional Clinical Counselor Inc's NPI number?

The NPI number for Kaelyn Marie Licensed Professional Clinical Counselor Inc is 1437963485. It was assigned to this organization in the NPPES registry on February 1, 2025.

Where is Kaelyn Marie Licensed Professional Clinical Counselor Inc located?

Kaelyn Marie Licensed Professional Clinical Counselor Inc is located at 3033 Fifth Ave Ste 230, San Diego, CA 92103. The listed phone number is (323) 628-8452.

What is Kaelyn Marie Licensed Professional Clinical Counselor Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kaelyn Marie Licensed Professional Clinical Counselor Inc was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.