MRS. KRISTEN AYALA LCSW
NPI 1568530095
Social Worker - Clinical in San Jose, CA

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
55 E JULIAN ST, SAN JOSE, CA 95112(408) 457-7100 Get Directions Write a Review

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

Record update history: Aug 18, 2026, Jul 16, 2026, Jun 19, 2023 and 1 more (4 updates tracked since 2023).

About Mrs. Kristen Ayala Lcsw NPPES

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

MRS. KRISTEN AYALA LCSW (NPI 1568530095) is an individual clinical provider in San Jose, California, licensed in California (73272) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1568530095
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTEN AYALACredential: LCSW
Location Address55 E JULIAN STSan Jose, CA 95112-4007
Mailing Address55 E Julian StSan Jose, CA 95112-4007 · (408) 457-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1568530095 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 · 73272
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.
55 E JULIAN ST, San Jose, CA 95112

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

Mrs. Kristen Ayala Lcsw 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 ID5597024026
PECOS Enrollment IDI20180109001153
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 Kristen Ayala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
160 E VIRGINIA ST
San Jose, CA 95112
  • Reassigned Medicare billing, California enrollment
  • 37 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Optometrist
55 E JULIAN ST
SAN JOSE, CA 95112
Nurse Practitioner
55 E JULIAN ST, MEDICAL ADMINISTRATION
SAN JOSE, CA 95112
Nurse Practitioner (Family)
55 E JULIAN ST
SAN JOSE, CA 95112
Dentist
55 E JULIAN ST
SAN JOSE, CA 95112
Obstetrics & Gynecology
55 E JULIAN ST
SAN JOSE, CA 95112
Dentist
55 E JULIAN ST
SAN JOSE, CA 95112
Physician Assistant (Medical)
55 E JULIAN ST
SAN JOSE, CA 95112
Pediatrics
55 E JULIAN ST
SAN JOSE, CA 95112

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 Kristen Ayala's NPI number?

The NPI number for Kristen Ayala is 1568530095. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kristen Ayala located?

Kristen Ayala practices at 55 E Julian St, San Jose, CA 95112. The listed phone number is (408) 457-7100.

What is Kristen Ayala's specialty?

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

Is Kristen Ayala enrolled in Medicare?

Yes. Kristen Ayala 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 Kristen Ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Ayala reassigns Medicare benefits to Gardner Family Health Network, Inc. (San Jose, 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 Kristen Ayala'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 Kristen Ayala was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.