HALEY KENDALL PROVAN
NPI 1467068320
Marriage & Family Therapist in San Diego, CA

Q: What is Haley Provan's NPI number?

The NPI number for Haley Provan is 1467068320. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Haley Provan'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 Haley Provan was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 16, 2020PECOS EnrolledAccepts Medicare Assignment

8885 RIO SAN DIEGO DR STE 367, SAN DIEGO, CA 92108(858) 232-6266 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2024, Oct 11, 2021, Oct 5, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Haley Kendall Provan NPPES

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

HALEY KENDALL PROVAN (NPI 1467068320) is an individual marriage & family therapist in San Diego, California, licensed in California (147097) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467068320

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHALEY KENDALL PROVAN

Location Address8885 RIO SAN DIEGO DR STE 367San Diego, CA 92108-1655

Mailing Address8885 Rio San Diego Dr Ste 367San Diego, CA 92108-1655 · (858) 232-6266

Phone(858) 232-6266

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 16, 2020

Last NPPES UpdateJune 19, 20244 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1467068320 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 · 147097

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.

8885 RIO SAN DIEGO DR STE 367, San Diego, CA 92108

Open in Google Maps ↗

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

Haley Kendall Provan 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 ID7810414133

PECOS Enrollment IDI20250509000362

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 Haley Provan's NPI number?

The NPI number for Haley Provan is 1467068320. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Haley Provan located?

Haley Provan practices at 8885 Rio San Diego Dr Ste 367, San Diego, CA 92108. The listed phone number is (858) 232-6266.

What is Haley Provan's specialty?

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

Is Haley Provan enrolled in Medicare?

Yes. Haley Provan 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.

When was this NPI record last updated?

The NPPES record for Haley Provan was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.