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TERRI LYNNE KISSELOVICH LCSW
NPI 1841386885
Social Worker - Clinical in La Mesa, CA

Active since October 05, 2006PECOS Enrolled
8881 FLETCHER PKWY STE 350-360, LA MESA, CA 91942(858) 279-1223 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2024, Apr 22, 2024, Apr 12, 2023 and 1 more (4 updates tracked since 2022).

About Terri Lynne Kisselovich Lcsw NPPES

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

TERRI LYNNE KISSELOVICH LCSW (NPI 1841386885) is an individual clinical provider in La Mesa, California, licensed in California (27673) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1841386885
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERRI LYNNE KISSELOVICHCredential: LCSW
Location Address8881 FLETCHER PKWY STE 350-360La Mesa, CA 91942-3134
Mailing Address8881 Fletcher Pkwy Ste 350-360La Mesa, CA 91942-3134
Phone(858) 279-1223
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1841386885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 27673
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8881 FLETCHER PKWY STE 350-360, La Mesa, CA 91942
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Secondary Practice Location 1

Location 11250 Morena BlvdSan Diego, CA 92110-3815 · Phone (619) 692-8750 · Fax (619) 275-7343

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri Lynne Kisselovich Lcsw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Terri Kisselovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Diego
3.8 mi
Community/Behavioral Health
1000 BROADWAY, SUITE 210
El Cajon, CA 92021
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1740348242 (619) 401-5500
Pacific Coast Psychiatric Associates Inc
299 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. BRIANA C RODRIGUEZ PSYD
Psychologist (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
SARA NHU VO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
MR. JACQUE MICHAEL NEGRETE L.C.S.W.
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
MARISSA EMRICH FOX LCSW
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
MISS CASSIE CHRISTINE DEACON LCSW
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
MR. DAVID ALIN KOHANYI LMFT
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (877) 329-0982
DR. CODY L GUSTAVESON PHD
Psychologist (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223
NICOLE ARIEL GILBERT LCSW
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350-360
LA MESA, CA 91942
San Diego County (858) 279-1223

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 Terri Kisselovich's NPI number?

The NPI number for Terri Kisselovich is 1841386885. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Terri Kisselovich located?

Terri Kisselovich practices at 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942. The listed phone number is (858) 279-1223.

What is Terri Kisselovich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Terri Kisselovich enrolled in Medicare?

Yes. Terri Kisselovich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Terri Kisselovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Kisselovich reassigns Medicare benefits to 2 organizations: County Of San Diego (El Cajon, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). Each 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 Terri Kisselovich'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 Terri Kisselovich was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.