DEBRA A. KELLY MFT BCBA NPI 1003278797

NPI Information

NPI: 1003278797
Provider Name: DEBRA A. KELLY, MFT, BCBA
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address: 23351 MADERO STE 292
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 335-0254

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NPI Details

Debra A. Kelly, MFT, BCBA is a marriage family therapist in Mission Viejo, CA. The provider is 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. Debra A. Kelly, MFT, BCBA NPI is 1003278797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23351 MADERO STE 292
MISSION VIEJO, CA
ZIP 92691-730
Phone: (949) 335-0254
Fax: (949) 388-3310

The enumeration date for this NPI number is 3/22/2016 and was last updated on 2/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	103K00000X	Behavior Analyst	12258842	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator			No
3	106H00000X	Marriage & Family Therapist	MFC 35691	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13810781	OTHER	CALIFORNIA	CAQH
2	2079LARL	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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