KELLY J HAAKENSON AMFT
NPI 1861259616
Marriage & Family Therapist in Auburn, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since February 28, 2024Opted out of Medicare · through Mar 23, 2027

1275 HIGH ST, AUBURN, CA 95603(279) 599-3644 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1861259616

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY J HAAKENSONCredential: AMFT

Location Address1275 HIGH STAuburn, CA 95603-5016

Mailing Address1275 High StAuburn, CA 95603-5016 · (279) 599-3644

Phone(279) 599-3644

Sole ProprietorNo

Enumeration DateFebruary 28, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1861259616 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 · 127074

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.

1275 HIGH ST, Auburn, CA 95603

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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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.

Opt-Out Effective DateMarch 23, 2025

Opt-Out In Effect ThroughMarch 23, 2027Opt-out affidavits renew automatically every two years unless cancelled