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

MS. Kelly Ann Sullivan, MA, MFT

Individual provider Mental Health Counselor · NPI 1235205022

MS. Kelly Ann Sullivan, MA, MFT is a Marriage and Family Therapist in San Diego, California. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

9939 Hibert St Ste 108
San Diego, CA 92131-1029
Phone: (619) 733-3655
Fax: (858) 578-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 49023 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1235205022
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , MFT
Sole proprietorYes
NPI enumeratedNovember 26, 2006
Last updated in NPPESOctober 27, 2011

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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