CHAD E KIEDROWSKI
NPI 1457533630
Marriage & Family Therapist in Yucaipa, CA

Q: What is Chad Kiedrowski's NPI number?

The NPI number for Chad Kiedrowski is 1457533630. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Q: What is Chad Kiedrowski's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Kiedrowski was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 29, 2007PECOS EnrolledAccepts Medicare Assignment

10776 FREMONT ST, YUCAIPA, CA 92399(951) 797-0114 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chad E Kiedrowski NPPES

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

CHAD E KIEDROWSKI (NPI 1457533630) is an individual marriage & family therapist in Yucaipa, California, licensed in California (LMFT87428) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1457533630

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameCHAD E KIEDROWSKI

Location Address10776 FREMONT STYucaipa, CA 92399-9630

Mailing Address10776 Fremont StYucaipa, CA 92399-9630 · (951) 797-0114

Phone(951) 797-0114

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 29, 2007

Last NPPES UpdateMarch 11, 2019

✔ NPI 1457533630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT87428

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 45168 (CA)

10776 FREMONT ST, Yucaipa, CA 92399

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Secondary Practice Location 1

Location 14000 Orange StRiverside, CA 92501-3613 · Phone (951) 955-4545 · Fax (951) 955-2138

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chad E Kiedrowski 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 ID3274977467

PECOS Enrollment IDI20240215001731

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.

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.

MISS ARIEL DIVINITY WILCOXEN M.S

Counselor (Mental Health)