Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAYLA COUNTRYMAN
NPI 1558036335
Marriage & Family Therapist in Laguna Hills, CA

Active since August 12, 2021PECOS Enrolled
23201 MILL CREEK DR STE 221, LAGUNA HILLS, CA 92653(888) 795-4337 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2023, Aug 12, 2021 (2 updates tracked since 2021).

About Kayla Countryman NPPES

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

KAYLA COUNTRYMAN (NPI 1558036335) is an individual marriage & family therapist in Laguna Hills, California, licensed in California (140338) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558036335
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKAYLA COUNTRYMAN
Location Address23201 MILL CREEK DR STE 221Laguna Hills, CA 92653-7906
Mailing Address23201 Mill Creek Dr Ste 221Laguna Hills, CA 92653-7906 · (916) 500-4651
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1558036335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 140338
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.
23201 MILL CREEK DR STE 221, Laguna Hills, CA 92653

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

Kayla Countryman 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 ID1951742345
PECOS Enrollment IDI20240516001475
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 Reassignments

3

Medicare enrollment records show Kayla Countryman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
23201 MILL CREEK DR STE 220
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
Mental Health
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 93 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
23201 MILL CREEK DR STE 221
LAGUNA HILLS, CA 92653
Counselor
23201 MILL CREEK DR STE 221
LAGUNA HILLS, CA 92653
Community/Behavioral Health
23201 MILL CREEK DR STE 221
LAGUNA HILLS, CA 92653

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 Kayla Countryman's NPI number?

The NPI number for Kayla Countryman is 1558036335. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Kayla Countryman located?

Kayla Countryman practices at 23201 Mill Creek Dr Ste 221, Laguna Hills, CA 92653. The listed phone number is (888) 795-4337.

What is Kayla Countryman's specialty?

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

Is Kayla Countryman enrolled in Medicare?

Yes. Kayla Countryman 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 organizations bill Medicare for Kayla Countryman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Countryman reassigns Medicare benefits to 3 organizations: Center For New Directions, Inc. (Laguna Hills, CA), Forward Wellness Family Therapy, Inc. (Placentia, CA) and Sondermind Professional Clinical Counselor, PC (San Jose, CA). Each 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 Kayla Countryman'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 Kayla Countryman was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.