KRISTI ANDERSON WILSON LPCC
NPI 1649697822
Counselor - Professional in San Ramon, CA

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
111 DEERWOOD RD STE 200, SAN RAMON, CA 94583(925) 967-3324 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristi Anderson Wilson Lpcc NPPES

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

KRISTI ANDERSON WILSON LPCC (NPI 1649697822) is an individual professional provider in San Ramon, California, licensed in California (436) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649697822
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTI ANDERSON WILSONCredential: LPCC
Location Address111 DEERWOOD RD STE 200San Ramon, CA 94583-4445
Mailing Address111 Deerwood Rd Ste 200San Ramon, CA 94583-4445 · (925) 967-3324
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 25, 2014
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1649697822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · 436✔ Licensed in OH · E.0500391
111 DEERWOOD RD STE 200, San Ramon, CA 94583

Accepted Insurance

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

Kristi Anderson Wilson Lpcc 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 ID7517309487
PECOS Enrollment IDI20240523000583
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 Kristi Anderson Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
17415 NORTHWOOD AVE #201
Lakewood, OH 44107
  • Reassigned Medicare billing, Ohio enrollment
  • 12 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 7

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

Psychologist (Clinical)
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Clinical Neuropsychologist
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Psychologist (Clinical)
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Psychologist (Clinical)
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Marriage & Family Therapist
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Marriage & Family Therapist
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583
Community/Behavioral Health
111 DEERWOOD RD STE 200
SAN RAMON, CA 94583

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 Kristi Anderson Wilson's NPI number?

The NPI number for Kristi Anderson Wilson is 1649697822. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Kristi Anderson Wilson located?

Kristi Anderson Wilson practices at 111 Deerwood Rd Ste 200, San Ramon, CA 94583. The listed phone number is (925) 967-3324.

What is Kristi Anderson Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristi Anderson Wilson enrolled in Medicare?

Yes. Kristi Anderson Wilson 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 Kristi Anderson Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Anderson Wilson reassigns Medicare benefits to Cornerstone Behavioral Health LLC (Lakewood, OH). 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 Kristi Anderson Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristi Anderson Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Kristi Anderson Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristi Anderson Wilson was last updated on September 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.