KELLIE NAKATSU BUCKNER LMFT, ED.S. - NPI 1811056930 - Marriage & Family Therapist in Greer, SC

Q: What is Kellie Buckner's NPI number?

The NPI number for Kellie Buckner is 1811056930. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Kellie Buckner's specialty?

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

Q: Is Kellie Buckner enrolled in Medicare?

No. Kellie Buckner has opted out of Medicare through January 15, 2028. 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 Kellie Buckner was last updated on February 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kellie Nakatsu Buckner Lmft, Ed.s. NPPES

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

KELLIE NAKATSU BUCKNER LMFT, ED.S. (NPI 1811056930) is an individual marriage & family therapist in Greer, South Carolina, licensed in South Carolina (4510) and active in the NPI registry since December 2006. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1811056930

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLIE NAKATSU BUCKNERCredential: LMFT, ED.S.

Location Address28 PARKWAY COMMONS WAYGreer, SC 29650-5213

Mailing Address300 Newfort PlGreenville, SC 29607-5985 · (864) 434-0750 · Fax (877) 991-7982

Phone(864) 434-0750

Fax(877) 991-7982

Sole ProprietorYes

Enumeration DateDecember 6, 2006

Last NPPES UpdateFebruary 4, 2015

✔ NPI 1811056930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in SC · 4510

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

28 PARKWAY COMMONS WAY, Greer, SC 29650

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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

Kellie Nakatsu Buckner Lmft, Ed.s. 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 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024

Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

MRS. KRISTINE NATTERSTAD LMFT

Marriage & Family Therapist