LEILANI MITCHELL
NPI 1790169936
Marriage & Family Therapist in Fresno, CA
About Leilani Mitchell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEILANI MITCHELL (NPI 1790169936) is an individual marriage & family therapist in Fresno, California, licensed in California (127220) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leilani Mitchell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Leilani Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palo Alto, CA 94303
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Wellmindonline Ca Licensed Clinical Social Worker Prof Corp
- 54 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93711
FRESNO, CA 93711
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 Leilani Mitchell's NPI number?
The NPI number for Leilani Mitchell is 1790169936. It was assigned to this individual provider in the NPPES registry on July 17, 2015.
Where is Leilani Mitchell located?
Leilani Mitchell practices at 1470 W Herndon Ave # 300, Fresno, CA 93711. The listed phone number is (559) 256-2000.
What is Leilani Mitchell's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Leilani Mitchell enrolled in Medicare?
Yes. Leilani Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Leilani Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leilani Mitchell reassigns Medicare benefits to Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (Palo Alto, 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 Leilani Mitchell'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 Leilani Mitchell was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Leilani Mitchell · NPI 1790169936
Marriage & Family Therapist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since July 17, 2015.
## Identity
- **NPI:** 1790169936 (Entity type: Individual)
- **Enumerated:** July 17, 2015
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 127220 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1470 W HERNDON AVE # 300, Fresno, CA 93711-0552
- **Phone:** (559) 256-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (NPI 1447871272, Palo Alto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790169936) · Data from the CMS NPPES public registry.