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KRISTIE ANN SMITH
NPI 1912561911
Counselor - Mental Health in Fullerton, CA

Active since April 24, 2019PECOS Enrolled
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831(714) 680-9000(714) 680-8233 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2019, Apr 24, 2019 (2 updates tracked since 2019).

About Kristie Ann Smith NPPES

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

KRISTIE ANN SMITH (NPI 1912561911) is an individual mental health provider in Fullerton, California, licensed in California (90002) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912561911
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIE ANN SMITH
Location Address801 E CHAPMAN AVE STE 203Fullerton, CA 92831-3846
Mailing AddressPo Box 919Fullerton, CA 92836-0919 · (714) 680-9000 · Fax (714) 680-8233
Phone(714) 680-9000
Fax(714) 680-8233
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
✔ NPI 1912561911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 90002
Also ListedRehabilitation PractitionerTaxonomy 225400000X
801 E CHAPMAN AVE STE 203, Fullerton, CA 92831
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristie Ann Smith 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 Kristie Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For New Directions, Inc.
20 mi
Mental Health
23201 MILL CREEK DR STE 220
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1578121190 (888) 795-4337
Sondermind Professional Clinical Counselor, PC
318 mi
Mental Health
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1598629362 (844) 843-7279

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.

MS. RAFAELA VARGAS
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
STEPHANIE FERNANDEZ
Case Manager/Care Coordinator
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
YESENIA T VELAZQUEZ ACSW
Counselor (Mental Health)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
JENNIFER GONZALEZ
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
ANDREA ALEXIA CARRERA
Social Worker (Clinical)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
MRS. DIANA SANCHEZ-BECERRA
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
DINA ISLAS
Licensed Vocational Nurse
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
JUVENAL CASTILLO
Counselor (Professional)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000

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 Kristie Smith's NPI number?

The NPI number for Kristie Smith is 1912561911. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Kristie Smith located?

Kristie Smith practices at 801 E Chapman Ave Ste 203, Fullerton, CA 92831. The listed phone number is (714) 680-9000.

What is Kristie Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristie Smith enrolled in Medicare?

Yes. Kristie Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristie Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristie Smith reassigns Medicare benefits to 2 organizations: Center For New Directions, Inc. (Laguna Hills, CA) and Sondermind Professional Clinical Counselor, PC (San Jose, CA). 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 Kristie Smith'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 Kristie Smith was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.