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SUPPORT FOR YOUR LIFE
NPI 1255034203
Psychologist - Clinical in Auburn, CA

Active since March 27, 2023
1111 HIGH ST STE B, AUBURN, CA 95603(530) 500-5885 Get Directions Write a Review

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

Record update history: Aug 17, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Support For Your Life NPPES

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

SUPPORT FOR YOUR LIFE (NPI 1255034203) is a healthcare organization registered as a clinical in Auburn, California and active in the NPI registry since March 2023. The organization lists Kristin Lyn Kaminski, Director, as its authorized official.

NPPES Registry Identity

NPI1255034203
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUPPORT FOR YOUR LIFE
Location Address1111 HIGH ST STE BAuburn, CA 95603-5151
Mailing Address1111 High St Ste BAuburn, CA 95603-5151 · (530) 500-5885
Phone(530) 500-5885
Organization SubpartNo
Authorized OfficialKristin Lyn KaminskiDirector · (530) 500-5885
Enumeration DateMarch 27, 2023
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1255034203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
1111 HIGH ST STE B, Auburn, CA 95603
Open in Google Maps ↗

Other Identifiers 1

Other1245779552Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Support For Your Life is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Support For Your Life, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kristin Kaminski-Wadle, PSY.D.
Clinical Psychologist
NPI 1245779552
1111 HIGH ST STE B
Auburn, CA 95603
(916) 802-3281
✔ PECOS✔ Accepts MedicareSame address
Amy Gossett, PSYD
Clinical Psychologist
NPI 1629597208
1660 E ROSEVILLE PKWY STE 100
Roseville, CA 95661
(916) 878-4023
✔ PECOS✔ Accepts Medicare14 mi
Maria Taheny, PHD
Clinical Psychologist
NPI 1386095263
4512 WINJE DR
Antelope, CA 95843
(916) 980-6445
✔ PECOS✔ Accepts Medicare20 mi

Source: 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 Support For Your Life's NPI number?

The NPI number for Support For Your Life is 1255034203. It was assigned to this organization in the NPPES registry on March 27, 2023.

Where is Support For Your Life located?

Support For Your Life is located at 1111 High St Ste B, Auburn, CA 95603. The listed phone number is (530) 500-5885.

What is Support For Your Life's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Support For Your Life enrolled in Medicare?

Yes. Support For Your Life is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Support For Your Life?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Support For Your Life. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Support For Your Life was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.