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

Q: 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.

Q: What is Elizabeth Kelly'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 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 9 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 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: August 23, 2026.

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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

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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 (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.

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