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

Q: 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..

Q: What is Autumn Mckamie's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 18

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

PARISA HASHEMI DO

Psychiatry & Neurology (Psychiatry)