MIA KELLS (LMFT-T) – Marriage & Family Therapist, NPI 1093541757

MIA KELLS (LMFT-T) is a healthcare provider. based in Wichita, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT-T. They hold a License No. 03640-T (KS). The NPI Number for MIA KELLS (LMFT-T) is 1093541757

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MIA KELLS (LMFT-T)
NPI
1093541757
Phone
Not provided
Address
731 N MCLEAN BLVD
Enumeration Date
10 September 2024
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164610339
Graduation Year
2024 (2 years ago)
PAC ID
7012447709
Group Practice PAC ID
4880958974
Professional Enrollment ID
I20250211001084
Address ID
KS672034935WI731XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

Provider Addresses for MIA KELLS (LMFT-T)

  • 731 N MCLEAN BLVD

    WICHITA, KS 672034986

    Phone:

    Mailing address matches the actual address.

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: 2025-02-11

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
I20250211001084IMarriage And Family TherapistKSTBD

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 67203)

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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: 4880958974View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do payers reference MIA KELLS (LMFT-T)?
For MIA KELLS (LMFT-T), use NPI 1093541757 as the unique 10-digit identifier.
Is there an active status for MIA KELLS (LMFT-T)?
For scheduling context, MIA KELLS (LMFT-T) is shown as active in the registry.
What clinical focus is listed for MIA KELLS (LMFT-T)?
At a glance, MIA KELLS (LMFT-T) is tied to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MIA KELLS (LMFT-T)?
Directory geography for MIA KELLS (LMFT-T) centers on Wichita, Kansas.
Does MIA KELLS (LMFT-T) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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