Kelly Sue Pacheco- Gagner, MS, LPCC in Los Angeles, CA - Medicare Mental Health Counselor Provider

Kelly Sue Pacheco- Gagner, MS, LPCC is a medicare enrolled "Counselor - Professional" provider in Los Angeles, California. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Pacific Coast Psychiatric Associates Inc and her current practice location is 6200 Wilshire Blvd Ste 1410, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Kelly Sue Pacheco- Gagner is licensed to practice in California (license number 17859) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437661402.

Contact Information

	Kelly Sue Pacheco- Gagner, MS, LPCC
	6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815
	(925) 282-1778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Sue Pacheco- Gagner
Gender	Female
Speciality	Mental Health Counselor
Experience	8 Years
Location	6200 Wilshire Blvd Ste 1410, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Sue Pacheco- Gagner graduated from medical school in 2018

NPI Data:

NPI Number: 1437661402
Provider Enumeration Date: 10/31/2017
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 2264958347
Enrollment ID: I20250501001937

Medical Identifiers

Medical identifiers for Kelly Sue Pacheco- Gagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437661402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	17859 (California)	Secondary
101YP2500X	Counselor - Professional	C9686 (Oregon)	Secondary
101YP2500X	Counselor - Professional	17859 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific Coast Psychiatric Associates Inc	2567469174	334

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Sue Pacheco- Gagner allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Sue Pacheco- Gagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Sue Pacheco- Gagner, MS, LPCC 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815 Ph: (925) 282-1778	Kelly Sue Pacheco- Gagner, MS, LPCC 6200 Wilshire Blvd Ste 1410, Los Angeles, CA 90048-5815 Ph: (925) 282-1778

Reviews and Comments

Counselor in Los Angeles, CA

Angelica Oropeza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Wilshire Blvd, Los Angeles, CA 90017 Phone: 213-481-7464 Fax: 213-481-7147
Tanya Sanderlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1147 S Alvarado St, Los Angeles, CA 90006 Phone: 213-381-8518
Lionela Evers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5151 S Western Ave, Los Angeles, CA 90062 Phone: 818-997-6876
Lori Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 7th St, Los Angeles, CA 90021 Phone: 213-537-0110 Fax: 213-537-0880
Kesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3761 Stocker St Ste 105, Los Angeles, CA 90008 Phone: 323-294-4261
Genevieve Giselle Simari, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 3787 S Vermont Ave, Los Angeles, CA 90007 Phone: 323-766-2345
Sarah M. Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12714 Avalon Blvd, Los Angeles, CA 90061 Phone: 323-242-5000

Kelly Sue Pacheco- Gagner, MS, LPCC - Medicare Counselor in Los Angeles, CA