Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jonathan A Kallis, LCSW

Clinical Social Worker in Rancho Mirage, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629017868

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Registry record

Entity type Individual (Type 1)

Name Jonathan A Kallis

Credential LCSW

Sex Male

Practice address 39000 Bob Hope Dr, Rancho Mirage, CA, 92270

Phone (760) 837-8767

Fax (760) 837-8806

Enumeration date Jun 5, 2006

Last updated in NPPES Jun 30, 2022

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers · License I0009706 (OH) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 82079 (CA) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
8200117300	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jonathan Kallis's NPI record?

Cross-check NPI 1629017868 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1629017868 active?

Yes, as of the latest NPPES snapshot, NPI 1629017868 is active (record last updated 2022-06-30).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-30.