KRISTI MITCHELL LICENSED PROFESSIONAL CLINICAL COUNSELOR PC
NPI 1376461624
Clinic/Center - Mental Health (Including Community Mental Health Center) in Roseville, CA
About Kristi Mitchell Licensed Professional Clinical Counselor Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTI MITCHELL LICENSED PROFESSIONAL CLINICAL COUNSELOR PC (NPI 1376461624) is a healthcare organization registered as a mental health (including community mental health center) in Roseville, California and active in the NPI registry since July 2026. The organization lists Kristi Mitchell, Licensed Professional Clinical Cou, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristi Mitchell Licensed Professional Clinical Counselor Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristi Mitchell Licensed Professional Clinical Counselor PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kristi Mitchell Licensed Professional Clinical Counselor PC's NPI number?
The NPI number for Kristi Mitchell Licensed Professional Clinical Counselor PC is 1376461624. It was assigned to this organization in the NPPES registry on July 6, 2026.
Where is Kristi Mitchell Licensed Professional Clinical Counselor PC located?
Kristi Mitchell Licensed Professional Clinical Counselor PC is located at 1209 Pleasant Grove Blvd Ste 101, Roseville, CA 95678. The listed phone number is (916) 622-2155.
What is Kristi Mitchell Licensed Professional Clinical Counselor PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kristi Mitchell Licensed Professional Clinical Counselor PC enrolled in Medicare?
Yes. Kristi Mitchell Licensed Professional Clinical Counselor PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kristi Mitchell Licensed Professional Clinical Counselor PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kristi Mitchell Licensed Professional Clinical Counselor PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kristi Mitchell Licensed Professional Clinical Counselor PC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kristi Mitchell Licensed Professional Clinical Counselor Pc · NPI 1376461624
Mental Health (Including Community Mental Health Center) organization in Roseville, California. Organization record, active in the CMS NPPES registry since July 6, 2026.
## Identity
- **NPI:** 1376461624 (Entity type: Organization)
- **Enumerated:** July 6, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kristi Mitchell, LICENSED PROFESSIONAL CLINICAL COU
## Practice location
- **Address:** 1209 PLEASANT GROVE BLVD STE 101, Roseville, CA 95678-6971
- **Phone:** (916) 622-2155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376461624) · Data from the CMS NPPES public registry.