KELLY J HUTTON LMFT
NPI 1710759444
Marriage & Family Therapist in San Diego, CA

Active since October 25, 2023Opted out of Medicare · through Jan 1, 2028
2404 BROADWAY, SAN DIEGO, CA 92102(619) 361-1547 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly J Hutton Lmft NPPES

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

KELLY J HUTTON LMFT (NPI 1710759444) is an individual marriage & family therapist in San Diego, California, licensed in California (139916) and active in the NPI registry since October 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1710759444
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY J HUTTONCredential: LMFT
Location Address2404 BROADWAYSan Diego, CA 92102-2097
Mailing Address2404 BroadwaySan Diego, CA 92102-2097
Sole ProprietorNo
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1710759444 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 · 139916
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.
2404 BROADWAY, San Diego, CA 92102

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 J Hutton Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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 6

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

Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102
Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102
Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102
Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102
Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102
Marriage & Family Therapist
2404 BROADWAY
SAN DIEGO, CA 92102

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 Hutton's NPI number?

The NPI number for Kelly Hutton is 1710759444. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Kelly Hutton located?

Kelly Hutton practices at 2404 Broadway, San Diego, CA 92102. The listed phone number is (619) 361-1547.

What is Kelly Hutton's specialty?

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

Is Kelly Hutton enrolled in Medicare?

No. Kelly Hutton has opted out of Medicare through January 1, 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 Hutton was last updated on October 25, 2023. 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.