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MS. AUTUMN FANNIN MCKAMIE M.A.
NPI 1851836837
Marriage & Family Therapist in Irvine, CA

Active since December 29, 2016PECOS Enrolled
4255 CAMPUS DR STE A245, IRVINE, CA 92612(888) 699-4873 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2021, Sep 28, 2018, Dec 29, 2016 (3 updates tracked since 2016).

About Ms. Autumn Fannin Mckamie M.a. NPPES

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

MS. AUTUMN FANNIN MCKAMIE M.A. (NPI 1851836837) is an individual marriage & family therapist in Irvine, California, licensed in California (124088) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851836837
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. AUTUMN FANNIN MCKAMIECredential: M.A.
Location Address4255 CAMPUS DR STE A245Irvine, CA 92612-8630
Mailing Address4255 Campus Dr Ste A245Irvine, CA 92612-8630 · (888) 699-4873
Phone(888) 699-4873
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 29, 2016
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1851836837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 124088✔ Licensed in CA · 85468
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4255 CAMPUS DR STE A245, Irvine, CA 92612
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Other Names 1

Former Name (1)Autumn Fannin M.a.

Secondary Practice Location 1

Location 12790 Skypark Dr Ste 215Torrance, CA 90505-5388 · Phone (310) 855-3990 ext. 0 · Fax (424) 276-7676

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Autumn Fannin Mckamie M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163929456
PECOS Enrollment IDI20251010003899
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 Autumn Mckamie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
348 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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.

MARISOL GARCIA VALENTE
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
PARISA HASHEMI DO
Psychiatry & Neurology (Psychiatry)
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
DR. ANGGA SMARADIKA RAHADYAN LMFT
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
KAI CHIU
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
ANDREA LOCHTEFELD ACSW
Social Worker
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (855) 501-1004
MR. JOSEPH CHRISTOPHER ZERRUDO M.S., LMFT
Marriage & Family Therapist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736
MS. DIANE MARIE ACKROYD PMPNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (888) 699-4873
LAWRENCE CHEN PHD
Psychologist
4255 CAMPUS DR STE A245
IRVINE, CA 92612
Orange County (949) 502-0736

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 Autumn Mckamie's NPI number?

The NPI number for Autumn Mckamie is 1851836837. It was assigned to this individual provider in the NPPES registry on December 29, 2016. The provider is also known as Autumn Fannin M.A..

Where is Autumn Mckamie located?

Autumn Mckamie practices at 4255 Campus Dr Ste A245, Irvine, CA 92612. The listed phone number is (888) 699-4873.

What is Autumn Mckamie's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Autumn Mckamie enrolled in Medicare?

Yes. Autumn Mckamie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Mckamie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Mckamie reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Autumn Mckamie'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 Autumn Mckamie was last updated on March 9, 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.