KELLY R RODRIGUEZ LMFT
NPI 1902231533
Marriage & Family Therapist in Long Beach, CA
About Kelly R Rodriguez Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY R RODRIGUEZ LMFT (NPI 1902231533) is an individual marriage & family therapist in Long Beach, California, licensed in California (99917) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
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 R Rodriguez Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sherman Oaks, CA 91411
- Reassigned Medicare billing, California enrollment
- 30 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.
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 Rodriguez's NPI number?
The NPI number for Kelly Rodriguez is 1902231533. It was assigned to this individual provider in the NPPES registry on September 13, 2013.
Where is Kelly Rodriguez located?
Kelly Rodriguez practices at 1501 Hughes Way Suite 150, Long Beach, CA 90810. The listed phone number is (310) 221-6336.
What is Kelly Rodriguez's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Rodriguez enrolled in Medicare?
Yes. Kelly Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Rodriguez reassigns Medicare benefits to Pacific Blue Psychological Services (Sherman Oaks, 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 Rodriguez'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 Rodriguez was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 R Rodriguez, LMFT · NPI 1902231533
Marriage & Family Therapist provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since September 13, 2013.
## Identity
- **NPI:** 1902231533 (Entity type: Individual)
- **Enumerated:** September 13, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 99917 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 HUGHES WAY, SUITE 150, Long Beach, CA 90810-1876
- **Phone:** (310) 221-6336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Blue Psychological Services (NPI 1124678719, Sherman Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1902231533) · Data from the CMS NPPES public registry.