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MS. KELLI ANN KING MFT
NPI 1740321454
Marriage & Family Therapist in Modesto, CA

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
2937 VENEMAN AVE, # A117, MODESTO, CA 95356(209) 527-1185(209) 527-1186 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kelli Ann King Mft NPPES

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

MS. KELLI ANN KING MFT (NPI 1740321454) is an individual marriage & family therapist in Modesto, California, licensed in California (MFC42864) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1740321454
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KELLI ANN KINGCredential: MFT
Location Address2937 VENEMAN AVE, # A117Modesto, CA 95356-0638
Mailing Address2937 Veneman Ave, # A117Modesto, CA 95356-0638 · (209) 527-1185 · Fax (209) 527-1186
Phone(209) 527-1185
Fax(209) 527-1186
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 8, 2011
✔ NPI 1740321454 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 · MFC42864
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.
2937 VENEMAN AVE, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelli Ann King 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 ID7012415896
PECOS Enrollment IDI20250811002904
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
26 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

PREMIER HEALTHCARE SERVICES, LLC
Home Health
2937 VENEMAN AVE, SUITE A-100
MODESTO, CA 95356
Stanislaus County (209) 408-1344
MR. JAMES LEE HENDRIX MA:MFT
Marriage & Family Therapist
2937 VENEMAN AVE, SUITE B250/B255
MODESTO, CA 95356
Stanislaus County (925) 209-8133
MS. VALERIE BUSCHOR DDS
Dentist
2937 VENEMAN AVE, SUITE 201A
MODESTO, CA 95356
Stanislaus County (209) 524-5044

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 Kelli King's NPI number?

The NPI number for Kelli King is 1740321454. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Kelli King located?

Kelli King practices at 2937 Veneman Ave # A117, Modesto, CA 95356. The listed phone number is (209) 527-1185.

What is Kelli King's specialty?

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

Is Kelli King enrolled in Medicare?

Yes. Kelli King 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.

Which organization bills Medicare for Kelli King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli King reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelli King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelli King was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.