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KRISTYNE SKIPPERGOSH ASW
NPI 1932550407
Social Worker - Clinical in San Diego, CA

Active since June 27, 2016PECOS Enrolled
5252 BALBOA AVE STE 800, SAN DIEGO, CA 92117(619) 404-0578 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2022, Mar 17, 2018, Oct 27, 2017 and 1 more (4 updates tracked since 2016).

About Kristyne Skippergosh Asw NPPES

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

KRISTYNE SKIPPERGOSH ASW (NPI 1932550407) is an individual clinical provider in San Diego, California, licensed in California (90784) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932550407
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTYNE SKIPPERGOSHCredential: ASW
Location Address5252 BALBOA AVE STE 800San Diego, CA 92117-6970
Mailing Address995 Gateway Center Way Ste 300San Diego, CA 92102-4550 · (619) 398-2156
Phone(619) 404-0578
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateOctober 7, 20224 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1932550407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 90784
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 77865 (CA)
Also ListedSocial WorkerTaxonomy 104100000X · License 6801099324 (MI)
5252 BALBOA AVE STE 800, San Diego, CA 92117
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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)

Kristyne Skippergosh Asw 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 Reassignment

Medicare enrollment records show Kristyne Skippergosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lucks Psychology, Inc
7.7 mi
Group Psychotherapy
6367 ALVARADO CT STE 200
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1841421328 (619) 569-0777

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 92117 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 12

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

BERNADETTE B. HEID, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION
Psychologist (Clinical)
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (858) 585-0812
WILLIAM TABOAS PHD
Psychologist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (619) 736-7534
JASON UNRUH LMFT
Marriage & Family Therapist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (858) 987-8088
JEANNETTE MARIE GILMORE LMFT
Marriage & Family Therapist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (858) 882-7872
DR. BERNADETTE BAUTISTA HEID PSYD
Psychologist (Clinical)
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (858) 585-0812
LEAH POLSTER LMFT
Marriage & Family Therapist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (614) 270-8093
HEART N SOUL HEALING COLLECTIVE
Marriage & Family Therapist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (614) 270-8093
DR. LYNN WARNER PH.D.
Psychologist
5252 BALBOA AVE STE 800
SAN DIEGO, CA 92117
San Diego County (757) 870-7577

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 Kristyne Skippergosh's NPI number?

The NPI number for Kristyne Skippergosh is 1932550407. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Kristyne Skippergosh located?

Kristyne Skippergosh practices at 5252 Balboa Ave Ste 800, San Diego, CA 92117. The listed phone number is (619) 404-0578.

What is Kristyne Skippergosh's specialty?

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

Is Kristyne Skippergosh enrolled in Medicare?

Yes. Kristyne Skippergosh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristyne Skippergosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristyne Skippergosh reassigns Medicare benefits to Lucks Psychology, Inc (San Diego, 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 Kristyne Skippergosh'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 Kristyne Skippergosh was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.