KELLY HAKE MSED
NPI 1568938694
Marriage & Family Therapist in Yucca Valley, CA

Q: What is Kelly Hake's NPI number?

The NPI number for Kelly Hake is 1568938694. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Q: What is Kelly Hake'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 Kelly Hake was last updated on October 5, 2023. 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.

Active since October 16, 2018

58471 29 PALMS HWY STE 102, YUCCA VALLEY, CA 92284(760) 853-4888(760) 418-2201 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Oct 16, 2018 (2 updates tracked since 2018).

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About Kelly Hake Msed NPPES

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

KELLY HAKE MSED (NPI 1568938694) is an individual marriage & family therapist in Yucca Valley, California, licensed in California (109558) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1568938694

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY HAKECredential: MSED

Location Address58471 29 PALMS HWY STE 102Yucca Valley, CA 92284-5818

Mailing Address11951 Hesperia RdHesperia, CA 92345-1855 · (760) 956-2345

Phone(760) 853-4888

Fax(760) 418-2201

Sole ProprietorNo

Enumeration DateOctober 16, 2018

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1568938694 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 · 109558

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.

58471 29 PALMS HWY STE 102, Yucca Valley, CA 92284

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Other Identifiers 2

Other109558CA · Bbs

Other109558CA · Mft Registered Intern

Other Providers at the Same Location NPPES 16

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

LONNY JAMES NICHOLSON JR.

Case Manager/Care Coordinator