Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Sue Pacheco- Gagner, MS, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437661402

Kelly Sue Pacheco- Gagner, MS, LPCC is a Mental Health Counselor in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
8
Licensed in
CA, OR
In the registry since
2017
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone: (925) 282-1778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 17859 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X · Licence 17859 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence C9686 (OR)

Record details

NPI number1437661402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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