KIERSTEN ELIZABETH MITCHELL
NPI 1699318196
Counselor - Mental Health in Bristol, FL

Q: What is Kiersten Mitchell's NPI number?

The NPI number for Kiersten Mitchell is 1699318196. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Kiersten Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kiersten Mitchell was last updated on October 28, 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 28, 2019PECOS Enrolled

10611 NW SR 20, BRISTOL, FL 32321(850) 643-1033(850) 643-5066 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kiersten Elizabeth Mitchell NPPES

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

KIERSTEN ELIZABETH MITCHELL (NPI 1699318196) is an individual mental health provider in Bristol, Florida and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699318196

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIERSTEN ELIZABETH MITCHELL

Location Address10611 NW SR 20Bristol, FL 32321-3232

Mailing Address2074 Midyette Rd Apt 1024Tallahassee, FL 32301-6248 · (954) 649-4630

Phone(850) 643-1033

Fax(850) 643-5066

Sole ProprietorNo

Enumeration DateOctober 28, 2019

✔ NPI 1699318196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

10611 NW SR 20, Bristol, FL 32321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiersten Elizabeth Mitchell 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 Kiersten Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shardae Tripp Counseling LLC

350 mi

Mental Health (Including Community Mental Health Center)

540 NW UNIVERSITY BLVD STE 202
Port Saint Lucie, FL 34986

Reassigned Medicare billing, Florida enrollment
19 clinicians in this Medicare group

NPI 1801583646 (772) 418-7797

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 12

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

MRS. MADISON LYNN EDWARDS MSW

Social Worker (School)