KELLIE DIANNE BROWN
NPI 1962175224
Marriage & Family Therapist in Ontario, CA

Q: What is Kellie Brown's NPI number?

The NPI number for Kellie Brown is 1962175224. It was assigned to this individual provider in the NPPES registry on July 31, 2021.

Q: What is Kellie Brown's specialty?

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

Q: Is Kellie Brown enrolled in Medicare?

No. Kellie Brown has opted out of Medicare through October 28, 2026. 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 Brown was last updated on November 1, 2023. 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.

Active since July 31, 2021Opted out of Medicare · through Oct 28, 2026

334 N PLACER PRIVADO, ONTARIO, CA 91764(951) 217-8112 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Jul 31, 2021 (2 updates tracked since 2021).

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About Kellie Dianne Brown NPPES

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

KELLIE DIANNE BROWN (NPI 1962175224) is an individual marriage & family therapist in Ontario, California, licensed in California (LMFT140777) and active in the NPI registry since July 2021. She has opted out of Medicare through October 28, 2026.

NPPES Registry Identity

NPI1962175224

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLIE DIANNE BROWN

Location Address334 N PLACER PRIVADOOntario, CA 91764-5666

Mailing Address334 N Placer PrivadoOntario, CA 91764-5666 · (951) 217-8112

Phone(951) 217-8112

Sole ProprietorNo

Enumeration DateJuly 31, 2021

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedOctober 28, 2023

✔ NPI 1962175224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT140777✔ Licensed in CA · AMFT126699

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.

334 N PLACER PRIVADO, Ontario, CA 91764

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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 Dianne Brown 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 October 28, 2024 through October 28, 2026.

Opt-Out Effective DateOctober 28, 2024

Opt-Out In Effect ThroughOctober 28, 2026Opt-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 Kellie Brown's NPI number?

The NPI number for Kellie Brown is 1962175224. It was assigned to this individual provider in the NPPES registry on July 31, 2021.

Where is Kellie Brown located?

Kellie Brown practices at 334 N Placer Privado, Ontario, CA 91764. The listed phone number is (951) 217-8112.

What is Kellie Brown's specialty?

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

Is Kellie Brown enrolled in Medicare?

No. Kellie Brown has opted out of Medicare through October 28, 2026. 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 Kellie Brown was last updated on November 1, 2023. 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.