1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Marriage Family Therapist
  6. NPI Profile

ELIZABETH ANN KELLY MFTI
NPI 1538499405
Marriage & Family Therapist in San Bernardino, CA

Active since December 28, 2009PECOS Enrolled
572 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401(909) 266-2700(906) 266-2790 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabeth Ann Kelly Mfti NPPES

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

ELIZABETH ANN KELLY MFTI (NPI 1538499405) is an individual marriage & family therapist in San Bernardino, California and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538499405
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH ANN KELLYCredential: MFTI
Location Address572 N ARROWHEAD AVESan Bernardino, CA 92401-1251
Mailing Address572 N Arrowhead AveSan Bernardino, CA 92401-1251 · (909) 266-2700
Phone(909) 266-2700
Fax(906) 266-2790
Sole ProprietorNo
Enumeration DateDecember 28, 2009
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1538499405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
572 N ARROWHEAD AVE, San Bernardino, CA 92401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ann Kelly Mfti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spring To Autumn Family Counseling, Inc.
4.7 mi
Marriage & Family Therapist
2068 ORANGE TREE LN STE 216
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1689056442 (909) 557-6574
Grow Healthcare Group PC
341 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALYSSA MARLENE RODRIGUEZ
Case Manager/Care Coordinator
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 266-2700
MISS JENNIFER GEORGINA NUNEZ
Day Training/Habilitation Specialist
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 266-2700
ANITA MARIE ISLAS LMFT
Marriage & Family Therapist
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 266-2700
EMQ CHILDREN AND FAMILY SERVICES
Case Management
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 266-2793
JACLYN MARIE VANDER VEEN
Counselor (Mental Health)
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 693-2462
ADRIENNE DENISE GREEN
Peer Specialist
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 266-2700
ROBERT WILLIAM NORIEGA
Day Training/Habilitation Specialist
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 844-9081
ANA KAREN VALENTIN ESPIRITU
Day Training/Habilitation Specialist
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (626) 753-8740

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 Elizabeth Kelly's NPI number?

The NPI number for Elizabeth Kelly is 1538499405. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Where is Elizabeth Kelly located?

Elizabeth Kelly practices at 572 N Arrowhead Ave, San Bernardino, CA 92401. The listed phone number is (909) 266-2700.

What is Elizabeth Kelly's specialty?

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

Is Elizabeth Kelly enrolled in Medicare?

Yes. Elizabeth Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Kelly reassigns Medicare benefits to 2 organizations: Spring To Autumn Family Counseling, Inc. (Redlands, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Elizabeth Kelly'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 Elizabeth Kelly was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.