1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Counselor
  6. NPI Profile

KELLY SCHROEDER
NPI 1710430830
Counselor - Mental Health in Fairfield, CA

Active since July 25, 2016PECOS Enrolled
1735 ENTERPRISE DR STE 105A, FAIRFIELD, CA 94533(707) 425-1799(707) 425-1081 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Schroeder NPPES

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

KELLY SCHROEDER (NPI 1710430830) is an individual mental health provider in Fairfield, California and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710430830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY SCHROEDER
Location Address1735 ENTERPRISE DR STE 105AFairfield, CA 94533-6822
Mailing Address1286 Callen StVacaville, CA 95688-3002 · (707) 447-8982 · Fax (707) 447-3205
Phone(707) 425-1799
Fax(707) 425-1081
Sole ProprietorNo
Enumeration DateJuly 25, 2016
✔ NPI 1710430830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1735 ENTERPRISE DR STE 105A, Fairfield, CA 94533
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Schroeder 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.

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.

TAUNTEN D ALMER
Marriage & Family Therapist
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
MS. SHARI L GARDNER
Counselor (Mental Health)
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
SHEILA JONES
Counselor (Addiction (Substance Use Disorder))
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
COLANDA COLEMAN
Counselor (Addiction (Substance Use Disorder))
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
TAMI IMLAY
Counselor (Mental Health)
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
DAISY SANDRIA
Behavior Technician
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
JUSTYN CRUZ MORENO
Counselor (Addiction (Substance Use Disorder))
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
TAMMY MARIE ESTES
Marriage & Family Therapist
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799

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 Kelly Schroeder's NPI number?

The NPI number for Kelly Schroeder is 1710430830. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Kelly Schroeder located?

Kelly Schroeder practices at 1735 Enterprise Dr Ste 105A, Fairfield, CA 94533. The listed phone number is (707) 425-1799.

What is Kelly Schroeder's specialty?

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

Is Kelly Schroeder enrolled in Medicare?

Yes. Kelly Schroeder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Schroeder was last updated on July 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.