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

Roberta Ridyn Kelley, LMFT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538831987

Roberta Ridyn Kelley, LMFT is a Marriage and Family Therapist in Plymouth, Minnesota. Qualified in 2020, 6 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

3007 Harbor Ln N Ste 1600
Plymouth, MN 55447-5142
Phone: (612) 915-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4250 Humboldt Ave N, Minneapolis, MN 55412-1661 — (612) 296-3456

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4461 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305002 (MN)

Record details

NPI number1538831987
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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