NPI
Kellie Mack Anderson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MFT
- Type
- Individual
- Enumeration date
- 2007-03-15
- Last updated
- 2013-11-08
Specialties
Licenses
- License ID
- LMFT 4401
- License CA
- MFC 47389
Location
- Practice location
- 18302 Irvine Blvd, Ste. 300
- City
- Tustin CA
- Postal code
- 92780-3435
- Phone
- (714) 881-8638
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Tustin, CA. 3,066 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.