KICKSTART
NPI 1104247659
Community/Behavioral Health in San Diego, CA
About Kickstart NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KICKSTART (NPI 1104247659) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since December 2013. The organization maintains a secondary practice location in San Diego and lists Tracy Ginter, Director Of State Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kickstart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Kickstart, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pathways Community Services LLC's NPI number?
The NPI number for Pathways Community Services LLC is 1104247659. It was assigned to this organization in the NPPES registry on December 31, 2013. The provider is doing business as Kickstart.
Where is Pathways Community Services LLC located?
Pathways Community Services LLC is located at 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120. The listed phone number is (619) 481-3790.
What is Pathways Community Services LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Pathways Community Services LLC enrolled in Medicare?
Yes. Pathways Community Services LLC is registered in the Medicare PECOS enrollment system.
When is Pathways Community Services LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pathways Community Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 7 Medicare specialties reassign their Medicare billing to Pathways Community Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Marriage and Family Therapist (7), Nurse Practitioner (7) and Psychiatry (6). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pathways Community Services LLC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kickstart · NPI 1104247659
Community/Behavioral Health organization in San Diego, California. Organization record, active in the CMS NPPES registry since December 31, 2013.
## Identity
- **NPI:** 1104247659 (Entity type: Organization)
- **Enumerated:** December 31, 2013
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Pathways Community Services Llc
- **Organization subpart:** No
- **Authorized official:** Tracy Ginter, DIRECTOR OF STATE OPERATIONS
## Practice location
- **Address:** 6160 MISSION GORGE RD STE 100, San Diego, CA 92120-3425
- **Phone:** (619) 481-3790 · **Fax:** (619) 481-3797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 27 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (7), Nurse Practitioner (7), Psychiatry (6); 1 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1104247659/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2024
- **Other identifiers:** Other 0000 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104247659) · Data from the CMS NPPES public registry.