MS. KELLY ANNE ROBERTSON (MA, LMFT) – Marriage & Family Therapist, NPI 1093141236

MS. KELLY ANNE ROBERTSON (MA, LMFT) is a healthcare provider. based in Marion, Iowa. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA, LMFT. They hold a License No. 000404 (IA). The NPI Number for MS. KELLY ANNE ROBERTSON (MA, LMFT) is 1093141236

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY ANNE ROBERTSON (MA, LMFT)
NPI
1093141236
Phone
(319) 261-2292
Address
1655 BLAIRS FERRY RD
Enumeration Date
19 September 2013
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883369661
Graduation Year
2016 (10 years ago)
PAC ID
9032657499
Group Practice PAC ID
2264738756
Professional Enrollment ID
I20240815003821
Address ID
IA524024832CE2720XNEXX401

Contacts

Secure Messaging
kelly@covenantfamilysolutions.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

88 MARRIAGE AND FAMILY THERAPIST in IA

Provider Addresses for MS. KELLY ANNE ROBERTSON (MA, LMFT)

  • 1655 BLAIRS FERRY RD

    MARION, IA 523023157

    Phone: (319) 261-2292

    Type: Mailing

  • 1519 S GILBERT ST

    IOWA CITY, IA 522404367

    Phone: (319) 338-9212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240815003821IMarriage And Family TherapistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264738756View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Mental Health CounselorIA
Clinical Social WorkerIA

Reviews

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Frequently asked questions

How do I look up MS. KELLY ANNE ROBERTSON (MA, LMFT) by NPI?
Use NPI 1093141236 when you need to reference MS. KELLY ANNE ROBERTSON (MA, LMFT) in forms, claims, or directories.
Is MS. KELLY ANNE ROBERTSON (MA, LMFT)'s NPI currently valid?
The extract we use shows MS. KELLY ANNE ROBERTSON (MA, LMFT) as active.
What does MS. KELLY ANNE ROBERTSON (MA, LMFT) treat or focus on?
Patients typically see MS. KELLY ANNE ROBERTSON (MA, LMFT) under the specialty Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is MS. KELLY ANNE ROBERTSON (MA, LMFT)'s primary listing?
We display Marion, Iowa because that is what the record indicates for MS. KELLY ANNE ROBERTSON (MA, LMFT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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