EMILY MCKILLIP
NPI 1205426384
Counselor - Mental Health in San Diego, CA
About Emily Mckillip NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY MCKILLIP (NPI 1205426384) is an individual mental health provider in San Diego, California, licensed in California (APCC11395) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Mckillip is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emily Mckillip reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92111
SAN DIEGO, CA 92111
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 Emily Mckillip's NPI number?
The NPI number for Emily Mckillip is 1205426384. It was assigned to this individual provider in the NPPES registry on January 21, 2021.
Where is Emily Mckillip located?
Emily Mckillip practices at 7917 Ostrow St, San Diego, CA 92111. The listed phone number is (858) 300-8282.
What is Emily Mckillip's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Emily Mckillip enrolled in Medicare?
Yes. Emily Mckillip is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emily Mckillip's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Mckillip reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Emily Mckillip'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 Emily Mckillip was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Emily Mckillip · NPI 1205426384
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since January 21, 2021.
## Identity
- **NPI:** 1205426384 (Entity type: Individual)
- **Enumerated:** January 21, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APCC11395 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7917 OSTROW ST, San Diego, CA 92111-3604
- **Phone:** (858) 300-8282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1205426384) · Data from the CMS NPPES public registry.