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KELLIE MARIE JARVIE
NPI 1578877338
Marriage & Family Therapist in Pomona, CA

Active since August 03, 2010PECOS Enrolled
160 E HOLT AVE, POMONA, CA 91767(909) 620-2521(909) 620-9793 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Kellie Marie Jarvie NPPES

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

KELLIE MARIE JARVIE (NPI 1578877338) is an individual marriage & family therapist in Pomona, California, licensed in California (80085) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Arcadia.

NPPES Registry Identity

NPI1578877338
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLIE MARIE JARVIE
Location Address160 E HOLT AVEPomona, CA 91767-5406
Mailing Address7216 Garnet StRancho Cucamonga, CA 91701-5612 · (626) 622-0053
Phone(909) 620-2521
Fax(909) 620-9793
Sole ProprietorYes
Enumeration DateAugust 3, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1578877338 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 · 80085
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.
160 E HOLT AVE, Pomona, CA 91767
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Secondary Practice Location 1

Location 141 E Foothill Blvd, Suite 102Arcadia, CA 91006-2307 · Phone (626) 737-6053

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Marie Jarvie 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 Kellie Jarvie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
4.5 mi
Pediatrics
2140 GRAND AVE, STE 120
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1811205131 (909) 558-3111
Sud Specialty Group - Ca
331 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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.

CHRISTINA PEROZO
Student in an Organized Health Care Education/Training Program
160 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 620-2521
JANELLE GARCIA
Counselor
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
PARISHA MCKEVA MARTIN
Rehabilitation Practitioner
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHANIE AUD
Counselor (Addiction (Substance Use Disorder))
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHEN PEEVY RAS
Counselor (Addiction (Substance Use Disorder))
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHANIE LAMBOURG
Licensed Psychiatric Technician
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MRS. NUBIA REYNA AGUILAR MFT INTERN
Marriage & Family Therapist
160 E HOLT AVE, UNIT B
POMONA, CA 91767
Los Angeles County (909) 620-2521
AMANDA CARRIE AJMAL M.A.
Marriage & Family Therapist
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521

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 Kellie Jarvie's NPI number?

The NPI number for Kellie Jarvie is 1578877338. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Kellie Jarvie located?

Kellie Jarvie practices at 160 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 620-2521.

What is Kellie Jarvie's specialty?

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

Is Kellie Jarvie enrolled in Medicare?

Yes. Kellie Jarvie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellie Jarvie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Jarvie reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Chino Hills, CA) and Sud Specialty Group - Ca (Santa Clara, 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 Kellie Jarvie'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 Kellie Jarvie was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.