KELLY BOYLAN LMFT
NPI 1740990654
Marriage & Family Therapist in Santa Clara, CA
About Kelly Boylan Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BOYLAN LMFT (NPI 1740990654) is an individual marriage & family therapist in Santa Clara, California, licensed in California (163250) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Boylan Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Boylan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Placentia, CA 92870
- Reassigned Medicare billing, California enrollment
- 150 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
SANTA CLARA, CA 95054
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 Boylan's NPI number?
The NPI number for Kelly Boylan is 1740990654. It was assigned to this individual provider in the NPPES registry on December 1, 2022.
Where is Kelly Boylan located?
Kelly Boylan practices at 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054. The listed phone number is (323) 205-7088.
What is Kelly Boylan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Boylan enrolled in Medicare?
Yes. Kelly Boylan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Boylan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Boylan reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, 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 Kelly Boylan'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 Kelly Boylan was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kelly Boylan, LMFT · NPI 1740990654
Marriage & Family Therapist provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since December 1, 2022.
## Identity
- **NPI:** 1740990654 (Entity type: Individual)
- **Enumerated:** December 1, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 163250 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054-1140
- **Phone:** (323) 205-7088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forward Wellness Family Therapy, Inc. (NPI 1093398059, Placentia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740990654) · Data from the CMS NPPES public registry.