MRS. KIM C. TILL LCSW
NPI 1558455295
Social Worker - Clinical in Aliso Viejo, CA

Q: What is Kim Till's NPI number?

The NPI number for Kim Till is 1558455295. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Ms. Kim Catherine Smith Lcsw.

Q: What is Kim Till's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kim Till was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 03, 2006PECOS Enrolled

5 MAREBLU, ALISO VIEJO, CA 92656(949) 643-6900 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2019, Sep 30, 2015 (2 updates tracked since 2015).

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About Mrs. Kim C. Till Lcsw NPPES

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

MRS. KIM C. TILL LCSW (NPI 1558455295) is an individual clinical provider in Aliso Viejo, California, licensed in California (27713) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558455295

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KIM C. TILLCredential: LCSW

Location Address5 MAREBLUAliso Viejo, CA 92656-3014

Mailing AddressPo Box 12404Costa Mesa, CA 92627-8268 · (949) 643-6900

Phone(949) 643-6900

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration

✔ NPI 1558455295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 27713

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5 MAREBLU, Aliso Viejo, CA 92656

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Other Names 1

Former Name (1)Ms. Kim Catherine Smith Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim C. Till Lcsw 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 Kim Till reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Orange

1.3 mi

Adult Mental Health

27141 ALISO CREEK RD, SUITE 100
Aliso Viejo, CA 92656

Reassigned Medicare billing, California enrollment
119 clinicians in this Medicare group

NPI 1194862383 (949) 643-6930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SOUTH COAST FERTILITY LAB

Obstetrics & Gynecology (Reproductive Endocrinology)

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 848-4500

MARIA DEL ROSARIO GUTIERREZ ENCISO B.A.

Counselor (Mental Health)

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6901

MS. SUZANNE RENEE HAMASAKI LMFT 50982

Marriage & Family Therapist

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6950

NATHAN GLEN KNOTT

Counselor (Addiction (Substance Use Disorder))

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6901

MS. CHERYLE ANN WING RN

Registered Nurse (Psychiatric/Mental Health, Adult)

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6905

ORANGE COUNTY HEALTH CARE AGENCY

Counselor (Addiction (Substance Use Disorder))

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6930

MS. TAL GAT

Social Worker (Clinical)

5 MAREBLU, SUITE 100
ALISO VIEJO, CA 92656

Orange County (949) 643-6965

JENNIFER ROMO

Counselor (Mental Health)

5 MAREBLU
ALISO VIEJO, CA 92656

Orange County (949) 643-6930

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 Kim Till's NPI number?

The NPI number for Kim Till is 1558455295. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Ms. Kim Catherine Smith Lcsw.

Where is Kim Till located?

Kim Till practices at 5 Mareblu, Aliso Viejo, CA 92656. The listed phone number is (949) 643-6900.

What is Kim Till's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim Till enrolled in Medicare?

Yes. Kim Till is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Till's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Till reassigns Medicare benefits to County Of Orange (Aliso Viejo, 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 Kim Till'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 Kim Till was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.