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DR. KRISTOPHER DAVIS MUDD
NPI 1336512052
Counselor - Professional in Chico, CA

Active since November 03, 2015PECOS Enrolled
130 YELLOWSTONE DR STE 100, CHICO, CA 95973(530) 345-1600 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Aug 25, 2016 (2 updates tracked since 2016).

About Dr. Kristopher Davis Mudd NPPES

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

DR. KRISTOPHER DAVIS MUDD (NPI 1336512052) is an individual professional provider in Chico, California and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336512052
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. KRISTOPHER DAVIS MUDD
Location Address130 YELLOWSTONE DR STE 100Chico, CA 95973-5884
Mailing Address130 Yellowstone Dr Ste 100Chico, CA 95973-5884 · (530) 345-1600
Phone(530) 345-1600
Sole ProprietorYes
Enumeration DateNovember 3, 2015
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1336512052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
130 YELLOWSTONE DR STE 100, Chico, CA 95973
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Other Names 1

Former Name (1)Kris Mudd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristopher Davis Mudd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kristopher Mudd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
168 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.

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.

MAKAYLA BERLIER
Counselor
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
SOPHIA NGUYEN
Student in an Organized Health Care Education/Training Program
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
MRS. HEATHER M WADDLE
Marriage & Family Therapist
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
JOHN PEARSON
Student in an Organized Health Care Education/Training Program
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
TYANNA MELISSA FARMER
Case Manager/Care Coordinator
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
AMBER LEE BASS
Student in an Organized Health Care Education/Training Program
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991
NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Counselor (Mental Health)
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 345-1600
JON EVENS
Marriage & Family Therapist
130 YELLOWSTONE DR STE 100
CHICO, CA 95973
Butte County (530) 879-5991

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 Kristopher Mudd's NPI number?

The NPI number for Kristopher Mudd is 1336512052. It was assigned to this individual provider in the NPPES registry on November 3, 2015. The provider is also known as Kris Mudd.

Where is Kristopher Mudd located?

Kristopher Mudd practices at 130 Yellowstone Dr Ste 100, Chico, CA 95973. The listed phone number is (530) 345-1600.

What is Kristopher Mudd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristopher Mudd enrolled in Medicare?

Yes. Kristopher Mudd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristopher Mudd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Mudd 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 Kristopher Mudd'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 Kristopher Mudd was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.