MR. ERIC KELLY MFT
NPI 1699788133
Marriage & Family Therapist in San Rafael, CA

Q: What is Eric Kelly's NPI number?

The NPI number for Eric Kelly is 1699788133. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Eric Kelly'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 Eric Kelly was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 15, 2006PECOS EnrolledAccepts Medicare Assignment

25 MITCHELL BLVD STE 3, SAN RAFAEL, CA 94903(415) 472-5282(415) 472-5534 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Eric Kelly Mft NPPES

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

MR. ERIC KELLY MFT (NPI 1699788133) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC 32566) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1699788133

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ERIC KELLYCredential: MFT

Location Address25 MITCHELL BLVD STE 3San Rafael, CA 94903-2013

Mailing Address25 Mitchell Blvd Ste 3San Rafael, CA 94903-2013 · (415) 472-5282 · Fax (415) 472-5534

Phone(415) 472-5282

Fax(415) 472-5534

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 15, 2006

Last NPPES UpdateJuly 24, 2021

NPPES CertifiedJuly 24, 2021

✔ NPI 1699788133 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 · MFC 32566

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.

25 MITCHELL BLVD STE 3, San Rafael, CA 94903

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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

Mr. Eric Kelly Mft 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 ID2668812504

PECOS Enrollment IDI20240425003037

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

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

JANICE LYNNE HANSON L.AC.

Acupuncturist

25 MITCHELL BLVD STE 3
SAN RAFAEL, CA 94903

Marin County (415) 472-3663

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 Eric Kelly's NPI number?

The NPI number for Eric Kelly is 1699788133. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Eric Kelly located?

Eric Kelly practices at 25 Mitchell Blvd Ste 3, San Rafael, CA 94903. The listed phone number is (415) 472-5282.

What is Eric Kelly's specialty?

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

Is Eric Kelly enrolled in Medicare?

Yes. Eric Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Kelly accept?

Health plans from Providence Health Plan list Eric Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Kelly was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.