MAKALA KINNICUTT
NPI 1740065671
Counselor - Mental Health in Elmira, NY
About Makala Kinnicutt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAKALA KINNICUTT (NPI 1740065671) is an individual mental health provider in Elmira, New York and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Makala Kinnicutt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Makala Kinnicutt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elmira, NY 14901
- Reassigned Medicare billing, New York enrollment
- 38 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Makala Kinnicutt's NPI number?
The NPI number for Makala Kinnicutt is 1740065671. It was assigned to this individual provider in the NPPES registry on August 29, 2023.
Where is Makala Kinnicutt located?
Makala Kinnicutt practices at 1019 E Water St, Elmira, NY 14901. The listed phone number is (607) 733-5696.
What is Makala Kinnicutt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Makala Kinnicutt enrolled in Medicare?
Yes. Makala Kinnicutt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Makala Kinnicutt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Makala Kinnicutt reassigns Medicare benefits to Family Services Of Chemung County, Inc. (Elmira, NY). 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 Makala Kinnicutt'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 Makala Kinnicutt was last updated on August 29, 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.
# Makala Kinnicutt · NPI 1740065671
Mental Health provider in Elmira, New York. Individual provider, active in the CMS NPPES registry since August 29, 2023.
## Identity
- **NPI:** 1740065671 (Entity type: Individual)
- **Enumerated:** August 29, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1019 E WATER ST, Elmira, NY 14901-3332
- **Phone:** (607) 733-5696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Services Of Chemung County, Inc. (NPI 1619922432, Elmira, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740065671) · Data from the CMS NPPES public registry.