PICKETT PSYCHOLOGICAL SERVICES, LLC
NPI 1730808692
Psychologist - Clinical in Cripple Creek, CO
About Pickett Psychological Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PICKETT PSYCHOLOGICAL SERVICES, LLC (NPI 1730808692) is a healthcare organization registered as a clinical in Cripple Creek, Colorado and active in the NPI registry since August 2022. The organization lists Clinton Pickett, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pickett Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Pickett Psychological Services, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pickett Psychological Services, LLC's NPI number?
The NPI number for Pickett Psychological Services, LLC is 1730808692. It was assigned to this organization in the NPPES registry on August 24, 2022.
Where is Pickett Psychological Services, LLC located?
Pickett Psychological Services, LLC is located at 100 W. Bennett Avenue, Cripple Creek, CO 80813. The listed phone number is (719) 598-3585.
What is Pickett Psychological Services, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Pickett Psychological Services, LLC enrolled in Medicare?
Yes. Pickett Psychological Services, LLC is registered in the Medicare PECOS enrollment system.
When is Pickett Psychological Services, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pickett Psychological Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Pickett Psychological Services, LLC. A 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 the clinician's services. The largest specialties are Clinical Psychologist (8), Mental Health Counselor (2) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pickett Psychological Services, LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pickett Psychological Services, Llc · NPI 1730808692
Clinical organization in Cripple Creek, Colorado. Organization record, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1730808692 (Entity type: Organization)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Clinton Pickett, OWNER
## Practice location
- **Address:** 100 W. BENNETT AVENUE, Cripple Creek, CO 80813
- **Phone:** (719) 598-3585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (8), Mental Health Counselor (2), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730808692) · Data from the CMS NPPES public registry.