KELLI PENNER M.S., LMFT 79102
NPI 1568694966
Marriage & Family Therapist in Los Angeles, CA

Q: What is Kelli Penner's NPI number?

The NPI number for Kelli Penner is 1568694966. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Q: What is Kelli Penner's specialty?

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

Q: Is Kelli Penner enrolled in Medicare?

No. Kelli Penner has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelli Penner was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 18, 2009Opted out of Medicare · through Jan 1, 2028

5314 N FIGUEROA ST, LOS ANGELES, CA 90042(626) 765-1165 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 13, 2021, Sep 20, 2016 (2 updates tracked since 2016).

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About Kelli Penner M.s., Lmft 79102 NPPES

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

KELLI PENNER M.S., LMFT 79102 (NPI 1568694966) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT 79102) and active in the NPI registry since August 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1568694966

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLI PENNERCredential: M.S., LMFT 79102

Location Address5314 N FIGUEROA STLos Angeles, CA 90042-4004

Mailing AddressPo Box 91081Pasadena, CA 91109-1081 · (323) 485-0189

Phone(626) 765-1165

Sole ProprietorNo

Enumeration DateAugust 18, 2009

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1568694966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT 79102✔ Licensed in CA · IMF 65537

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.

5314 N FIGUEROA ST, Los Angeles, CA 90042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelli Penner M.s., Lmft 79102 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPACES MARRIAGE AND FAMILY THERAPY

Clinic/Center (Mental Health (Including Community Mental Health Center))

5314 N FIGUEROA ST
LOS ANGELES, CA 90042

Los Angeles County (323) 498-4448

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 Kelli Penner's NPI number?

The NPI number for Kelli Penner is 1568694966. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Kelli Penner located?

Kelli Penner practices at 5314 N Figueroa St, Los Angeles, CA 90042. The listed phone number is (626) 765-1165.

What is Kelli Penner's specialty?

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

Is Kelli Penner enrolled in Medicare?

No. Kelli Penner has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelli Penner was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.