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KELLY HART
NPI 1659096642
Marriage & Family Therapist in Pasadena, CA

Active since October 11, 2022Opted out of Medicare · through Jan 8, 2028
3030 E COLORADO BLVD STE 214, PASADENA, CA 91107(626) 385-6121 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Kelly Hart NPPES

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

KELLY HART (NPI 1659096642) is an individual marriage & family therapist in Pasadena, California, licensed in California (AMFT134633) and active in the NPI registry since October 2022. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1659096642
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY HART
Location Address3030 E COLORADO BLVD STE 214Pasadena, CA 91107-3840
Mailing Address3030 E Colorado BlvdPasadena, CA 91107-3840 · (626) 244-7272
Phone(626) 385-6121
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1659096642 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 · AMFT134633
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.
3030 E COLORADO BLVD STE 214, Pasadena, CA 91107
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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

Kelly Hart 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 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 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 4

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

REBECCA READ
Marriage & Family Therapist
3030 E COLORADO BLVD STE 214
PASADENA, CA 91107
Los Angeles County (213) 255-5573
DR. AMANDA JOLAN PRESS PSYD
Psychologist (Clinical)
3030 E COLORADO BLVD STE 214
PASADENA, CA 91107
Los Angeles County (626) 766-2169
MELANIE K DOSEN MSW
Social Worker (Clinical)
3030 E COLORADO BLVD STE 214
PASADENA, CA 91107
Los Angeles County (626) 658-7964
JOY RADHA MALIK-HASBROOK PSYD
Psychologist (Clinical)
3030 E COLORADO BLVD STE 214
PASADENA, CA 91107
Los Angeles County (747) 224-7303

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 Hart's NPI number?

The NPI number for Kelly Hart is 1659096642. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Kelly Hart located?

Kelly Hart practices at 3030 E Colorado Blvd Ste 214, Pasadena, CA 91107. The listed phone number is (626) 385-6121.

What is Kelly Hart's specialty?

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

Is Kelly Hart enrolled in Medicare?

No. Kelly Hart has opted out of Medicare through January 8, 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 Hart was last updated on June 25, 2024. 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.