KRISTINE LYNN FITTS LMSW, QMHP
NPI 1184255960
Counselor - Mental Health in Roseburg, OR

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
548 SE JACKSON ST, ROSEBURG, OR 97470(415) 440-3532 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2025, Oct 16, 2022, Jan 30, 2020 (3 updates tracked since 2020).

About Kristine Lynn Fitts Lmsw, Qmhp NPPES

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

KRISTINE LYNN FITTS LMSW, QMHP (NPI 1184255960) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184255960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTINE LYNN FITTSCredential: LMSW, QMHP
Location Address548 SE JACKSON STRoseburg, OR 97470-4983
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 440-3532
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1184255960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
548 SE JACKSON ST, Roseburg, OR 97470

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Lynn Fitts Lmsw, Qmhp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42788002
PECOS Enrollment IDI20260507002360
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 Kristine Fitts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
10 PIER 1 STE 204
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • 35 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Marriage & Family Therapist
548 SE JACKSON ST
ROSEBURG, OR 97470
Registered Nurse
548 SE JACKSON ST
ROSEBURG, OR 97470

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 Kristine Fitts's NPI number?

The NPI number for Kristine Fitts is 1184255960. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Kristine Fitts located?

Kristine Fitts practices at 548 SE Jackson St, Roseburg, OR 97470. The listed phone number is (415) 440-3532.

What is Kristine Fitts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristine Fitts enrolled in Medicare?

Yes. Kristine Fitts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristine Fitts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Fitts reassigns Medicare benefits to Shoreline Counseling LLC (Astoria, OR). 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 Kristine Fitts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Fitts accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kristine Fitts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Fitts was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.