SHANNON RYCHLY KELLY LMFT
NPI 1780476788
Marriage & Family Therapist in Berkeley, CA

Q: What is Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1780476788. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Shannon Kelly's specialty?

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

Q: Is Shannon Kelly enrolled in Medicare?

No. Shannon Kelly has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 19, 2025Opted out of Medicare · through Sep 22, 2027

1442A WALNUT ST # 223, BERKELEY, CA 94709(408) 234-2707 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shannon Rychly Kelly Lmft NPPES

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

SHANNON RYCHLY KELLY LMFT (NPI 1780476788) is an individual marriage & family therapist in Berkeley, California, licensed in California (80921) and active in the NPI registry since May 2025. She has opted out of Medicare through September 22, 2027.

NPPES Registry Identity

NPI1780476788

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANNON RYCHLY KELLYCredential: LMFT

Location Address1442A WALNUT ST # 223Berkeley, CA 94709-1405

Mailing Address1442a Walnut St # 223Berkeley, CA 94709-1405

Phone(408) 234-2707

Sole ProprietorYes

Enumeration DateMay 19, 2025

NPPES CertifiedMay 19, 2025

✔ NPI 1780476788 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 · 80921

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.

1442A WALNUT ST # 223, Berkeley, CA 94709

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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

Shannon Rychly Kelly 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 September 22, 2025 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2025

Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1780476788. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Shannon Kelly located?

Shannon Kelly practices at 1442A Walnut St # 223, Berkeley, CA 94709. The listed phone number is (408) 234-2707.

What is Shannon Kelly's specialty?

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

Is Shannon Kelly enrolled in Medicare?

No. Shannon Kelly has opted out of Medicare through September 22, 2027. 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 Shannon Kelly was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.