Kristi Noel Mitchell

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1209 Pleasant Grove Blvd
Roseville, CA 95678-6971

Phone

(916) 622-2155

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristi Mitchell Licensed Professional Clinical Counselor PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, CA
  • NPI 1861239451
  NPD Authorized official
• Kristi Mitchell Licensed Professional Clinical Counselor PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, CA
  • NPI 1376461624
  NPD (past) Authorized official
• Hope for Healthy Families Counseling Center

  • Voluntary or Charitable Agency
  • Elk Grove, CA
  • NPI 1649526732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1265008775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CORDOVAN DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786000",
            "telephone_number": "916-622-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 PLEASANT GROVE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786971",
            "telephone_number": "916-622-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTI",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "11814",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ce'Von Mitchell Ford
• Brandi Ann Mitchell
• Jillian Claire Mitchell
• John Cameron Mitchell, MD
• Joshua Mitchell
• Moneeshindra Singh Mittal, MD
• Josina Grassi Moak, PSY.D.
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Modesto Radiological Medical Group, Inc
• Julie Catheryn Moede, PA-C

• Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.