KELSEY KINGSMORE - NPI 1609541820 - Marriage & Family Therapist in Carlsbad, CA

Q: What is Kelsey Kingsmore's NPI number?

The NPI number for Kelsey Kingsmore is 1609541820. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Q: What is Kelsey Kingsmore'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 Kelsey Kingsmore was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

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About Kelsey Kingsmore NPPES

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

KELSEY KINGSMORE (NPI 1609541820) is an individual marriage & family therapist in Carlsbad, California, licensed in California (153308) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609541820

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELSEY KINGSMORE

Location Address6010 HIDDEN VALLEY RD STE 115Carlsbad, CA 92011-4219

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954

Phone(855) 501-1004

Fax(760) 814-6094

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 10, 2021

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1609541820 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 · 153308✔ Licensed in CA · AMFT136920

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.

6010 HIDDEN VALLEY RD STE 115, Carlsbad, CA 92011

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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 and accepts Medicare assignment

Kelsey Kingsmore 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 ID547779084

PECOS Enrollment IDI20250604004078

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 9

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

CAROLYN CLARK AC-CRNP-PMH

Nurse Practitioner (Psychiatric/Mental Health)