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 with the weekly NPPES data releases published by CMS.

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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, 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, 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)