KELLIE MACK ANDERSON MFT
NPI 1972637445
Marriage & Family Therapist in Tustin, CA

Q: What is Kellie Anderson's NPI number?

The NPI number for Kellie Anderson is 1972637445. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Kellie Mack.

Q: What is Kellie Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Anderson was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 15, 2007

18302 IRVINE BLVD, STE. 300, TUSTIN, CA 92780(714) 881-8638 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kellie Mack Anderson Mft NPPES

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

KELLIE MACK ANDERSON MFT (NPI 1972637445) is an individual marriage & family therapist in Tustin, California, licensed in California (MFC 47389) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1972637445

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLIE MACK ANDERSONCredential: MFT

Location Address18302 IRVINE BLVD, STE. 300Tustin, CA 92780-3435

Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (714) 881-8638

Phone(714) 881-8638

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateNovember 8, 2013

✔ NPI 1972637445 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 · MFC 47389✔ Licensed in ID · LMFT 4401

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.

18302 IRVINE BLVD, Tustin, CA 92780

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Other Names 1

Former Name (1)Kellie Mack

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.

ALEJANDRA MARIA BOLIVAR

Behavior Analyst

18302 IRVINE BLVD, SUITE 300
TUSTIN, CA 92780

Orange County (714) 957-1004

KARLA TORRES B.S.

Counselor

18302 IRVINE BLVD
TUSTIN, CA 92780

Orange County (714) 881-8611

TINA KEITH

Counselor (Mental Health)

18302 IRVINE BLVD, STE 300
TUSTIN, CA 92780

Orange County (714) 957-1004

MICHELLE MANZER

Social Worker

18302 IRVINE BLVD
TUSTIN, CA 92780

Orange County (714) 957-1004

JAMIE SINNOTT LCSW

Social Worker (Clinical)

18302 IRVINE BLVD, #300
TUSTIN, CA 92780

Orange County (714) 957-1004

MS. MARY CATHERINE MAYFIELD

Technician, Other

18302 IRVINE BLVD, SUITE 300
TUSTIN, CA 92780

Orange County (714) 881-8636

JESSICA M BEESE

Technician, Health Information (Assistant Record Technician)

18302 IRVINE BLVD, 300
TUSTIN, CA 92780

Orange County (714) 881-8600

BRITTNEY LARA

Student in an Organized Health Care Education/Training Program

18302 IRVINE BLVD, SUITE 300
TUSTIN, CA 92780

Orange County (714) 957-1004

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 Anderson's NPI number?

The NPI number for Kellie Anderson is 1972637445. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Kellie Mack.

Where is Kellie Anderson located?

Kellie Anderson practices at 18302 Irvine Blvd Ste. 300, Tustin, CA 92780. The listed phone number is (714) 881-8638.

What is Kellie Anderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Anderson was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.