MS. KELLY ANN RILEY MFT
NPI 1609942051
Counselor - Mental Health in San Diego, CA
About Ms. Kelly Ann Riley Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY ANN RILEY MFT (NPI 1609942051) is an individual mental health provider in San Diego, California, licensed in California (MFC36315) and active in the NPI registry since November 2006. She has opted out of Medicare through January 24, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Kelly Ann Riley Mft 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 24, 2024 through January 24, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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 Riley's NPI number?
The NPI number for Kelly Riley is 1609942051. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Kelly Riley located?
Kelly Riley practices at 4420 Hotel Circle Ct Suite 235, San Diego, CA 92108. The listed phone number is (619) 692-9696.
What is Kelly Riley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Riley enrolled in Medicare?
No. Kelly Riley has opted out of Medicare through January 24, 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 Kelly Riley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Kelly Ann Riley, MFT · NPI 1609942051
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1609942051 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MFC36315 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 HOTEL CIRCLE CT, SUITE 235, San Diego, CA 92108-3411
- **Phone:** (619) 692-9696 · **Fax:** (619) 692-0299
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1609942051) · Data from the CMS NPPES public registry.