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

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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 and is a graduate of Other (2017).

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
Medical School CMSOtherGraduated 2017
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
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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

Kelly Schroeder 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 ID6709314412
PECOS Enrollment IDI20250108004246
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 Kelly Schroeder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michael Prothero Marriage And Family Therapist And Associates In
66 mi
Marriage & Family Therapist
438 COLUSA AVE, SUITE A
Yuba City, CA 95991
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1265694954 (530) 755-0735

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 11

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

ERIKA AGUILERA
Social Worker (Clinical)
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
MS. SHARI L GARDNER
Counselor (Mental Health)
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
TAUNTEN D ALMER
Marriage & Family Therapist
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
TAMI IMLAY
Counselor (Mental Health)
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 425-1799
MRS. TANYA LYNNE BROWNRIGG
Counselor
1735 ENTERPRISE DR STE 105A
FAIRFIELD, CA 94533
Solano County (707) 447-3205
COLANDA COLEMAN
Counselor (Addiction (Substance Use Disorder))
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Schroeder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Schroeder reassigns Medicare benefits to Michael Prothero Marriage And Family Therapist And Associates In (Yuba City, 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 Kelly Schroeder'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 Kelly Schroeder was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.