CHAD E KIEDROWSKI
NPI 1457533630
Marriage & Family Therapist in Yucaipa, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Chad Kiedrowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Victorville, CA 92392
- Reassigned Medicare billing, California enrollment
- 124 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Chad Kiedrowski located?
Chad Kiedrowski practices at 10776 Fremont St, Yucaipa, CA 92399. The listed phone number is (951) 797-0114.
What is Chad Kiedrowski's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Chad Kiedrowski enrolled in Medicare?
Yes. Chad Kiedrowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Chad Kiedrowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chad Kiedrowski reassigns Medicare benefits to High Desert Psychological Services (Victorville, 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 Chad Kiedrowski'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 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.
# Chad E Kiedrowski · NPI 1457533630
Marriage & Family Therapist provider in Yucaipa, California. Individual provider, active in the CMS NPPES registry since November 29, 2007.
## Identity
- **NPI:** 1457533630 (Entity type: Individual)
- **Enumerated:** November 29, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT87428 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10776 FREMONT ST, Yucaipa, CA 92399-9630
- **Phone:** (951) 797-0114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** High Desert Psychological Services (NPI 1104463371, Victorville, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1457533630) · Data from the CMS NPPES public registry.