HALEY KENDALL PROVAN
NPI 1467068320
Marriage & Family Therapist in San Diego, CA
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haley Kendall Provan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Haley Provan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 341 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 enrollment system.
Which organization bills Medicare for Haley Provan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Provan reassigns Medicare benefits to Monica Perlman MD Inc. (La Jolla, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Provan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Haley Kendall Provan · NPI 1467068320
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1467068320 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 147097 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8885 RIO SAN DIEGO DR STE 367, San Diego, CA 92108-1655
- **Phone:** (858) 232-6266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Monica Perlman MD Inc. (NPI 1134309305, La Jolla, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1467068320) · Data from the CMS NPPES public registry.