MR. KELLY M KILCOYNE LMFT
NPI 1568501682
Marriage & Family Therapist in San Mateo, CA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
205 E 3RD AVE, SUITE 207-C, SAN MATEO, CA 94401(650) 485-1512(650) 342-5678 Get Directions Write a Review

NPPES record last updated: March 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly M Kilcoyne Lmft NPPES

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

MR. KELLY M KILCOYNE LMFT (NPI 1568501682) is an individual marriage & family therapist in San Mateo, California, licensed in California (LMFT51065) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1568501682
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KELLY M KILCOYNECredential: LMFT
Location Address205 E 3RD AVE, SUITE 207-CSan Mateo, CA 94401-4051
Mailing AddressPo Box 1512San Mateo, CA 94401 · (650) 485-1512 · Fax (650) 342-5678
Fax(650) 342-5678
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMarch 7, 2015
NPI 1568501682 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 · LMFT51065
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.
205 E 3RD AVE, San Mateo, CA 94401

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

Mr. Kelly M Kilcoyne Lmft 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 ID8820595374
PECOS Enrollment IDI20251203003236
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.

Psychologist
205 E 3RD AVE
SAN MATEO, CA 94401
Marriage & Family Therapist
205 E 3RD AVE, SUITE 301
SAN MATEO, CA 94401
Psychologist (Clinical Child & Adolescent)
205 E 3RD AVE, MEZZANINE 1-A
SAN MATEO, CA 94401
Counselor (Mental Health)
205 E 3RD AVE, SUITE 208
SAN MATEO, CA 94401
Naturopath
205 E 3RD AVE, SUITE 206
SAN MATEO, CA 94401
Psychologist (Clinical)
205 E 3RD AVE, STE 208
SAN MATEO, CA 94401
Marriage & Family Therapist
205 E 3RD AVE, SUITE 200A
SAN MATEO, CA 94401
Social Worker (Clinical)
205 E 3RD AVE
SAN MATEO, CA 94401

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 Kelly Kilcoyne's NPI number?

The NPI number for Kelly Kilcoyne is 1568501682. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kelly Kilcoyne located?

Kelly Kilcoyne practices at 205 E 3rd Ave Suite 207-C, San Mateo, CA 94401. The listed phone number is (650) 485-1512.

What is Kelly Kilcoyne's specialty?

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

Is Kelly Kilcoyne enrolled in Medicare?

Yes. Kelly Kilcoyne 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 Kelly Kilcoyne was last updated on March 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.