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KYLA L GILMORE
NPI 1104595446
Social Worker - Clinical in Modesto, CA

Active since September 09, 2021PECOS Enrolled
5815 STODDARD RD STE 600, MODESTO, CA 95356(209) 543-1874 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2024, Sep 9, 2021 (2 updates tracked since 2021).

About Kyla L Gilmore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLA L GILMORE (NPI 1104595446) is an individual clinical provider in Modesto, California, licensed in California (99050) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104595446
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYLA L GILMORE
Location Address5815 STODDARD RD STE 600Modesto, CA 95356-9041
Mailing Address5727 Sutter Ave Apt 6Carmichael, CA 95608-2376 · (097) 614-9192
Phone(209) 543-1874
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 9, 2021
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1104595446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 99050
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 99050 (CA)
5815 STODDARD RD STE 600, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyla L Gilmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618454034
PECOS Enrollment IDI20260115004259
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyla Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
53 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISA AILEEN GONZALEZ
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 348-9786
VERONICA VILLEDA
Social Worker
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 818-2019
JESSICA NAVARRO
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 543-1874
RAMANDEEP DHALIWAL MS, LMFT
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 543-1874
JENELL GOWIN
Social Worker (Clinical)
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 348-9786
KAREN HENDERSON MA, IMF
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 543-1874
MRS. ALISSA CHEYENNE BEREZAY LMFT
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 543-1874
JASPREET SINGH DHALIWAL
Marriage & Family Therapist
5815 STODDARD RD STE 600
MODESTO, CA 95356
Stanislaus County (209) 345-2713

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 Kyla Gilmore's NPI number?

The NPI number for Kyla Gilmore is 1104595446. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Kyla Gilmore located?

Kyla Gilmore practices at 5815 Stoddard Rd Ste 600, Modesto, CA 95356. The listed phone number is (209) 543-1874.

What is Kyla Gilmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyla Gilmore enrolled in Medicare?

Yes. Kyla Gilmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyla Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyla Gilmore reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Kyla Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyla Gilmore was last updated on May 14, 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.