KELLY J HAAKENSON AMFT
NPI 1861259616
Marriage & Family Therapist in Auburn, CA
About Kelly J Haakenson Amft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY J HAAKENSON AMFT (NPI 1861259616) is an individual marriage & family therapist in Auburn, California, licensed in California (127074) and active in the NPI registry since February 2024. She has opted out of Medicare through March 23, 2027.
NPPES Registry Identity
Specialties & Licenses
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 Haakenson Amft 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 March 23, 2025 through March 23, 2027.
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.
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 Haakenson's NPI number?
The NPI number for Kelly Haakenson is 1861259616. It was assigned to this individual provider in the NPPES registry on February 28, 2024.
Where is Kelly Haakenson located?
Kelly Haakenson practices at 1275 High St, Auburn, CA 95603. The listed phone number is (279) 599-3644.
What is Kelly Haakenson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Haakenson enrolled in Medicare?
No. Kelly Haakenson has opted out of Medicare through March 23, 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 Kelly Haakenson was last updated on February 28, 2024. 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.
# Kelly J Haakenson, AMFT · NPI 1861259616
Marriage & Family Therapist provider in Auburn, California. Individual provider, active in the CMS NPPES registry since February 28, 2024.
## Identity
- **NPI:** 1861259616 (Entity type: Individual)
- **Enumerated:** February 28, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 127074 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 HIGH ST, Auburn, CA 95603-5016
- **Phone:** (279) 599-3644
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1861259616) · Data from the CMS NPPES public registry.