Organization Active NPI

Kristi Mitchell Licensed Professional Clinical Counselor PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, CA
National Provider Identifier
1376461624
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KRISTI MITCHELL LICENSED PROFESSIONAL CLINICAL COUNSELOR PC
Practice address
1209 Pleasant Grove Blvd Ste 101
Roseville, CA 95678-6971
Phone
(916) 622-2155
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Kristi Mitchell, LPCC 17022NPI 1265008775
Title
Licensed Professional Clinical Cou
Phone
(916) 622-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1209 Pleasant Grove Blvd Ste 101
Roseville, CA 95678-6971

Mailing address

1209 Pleasant Grove Blvd Ste 101
Roseville, CA 95678-6971
Phone (916) 622-2155

National Provider Directory

National Provider Directory

Locations

1209 Pleasant Grove Blvd
Ste 101
Roseville, CA 95678
Phone (916) 622-2155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1376461624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 PLEASANT GROVE BLVD STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786971",
            "telephone_number": "916-622-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 PLEASANT GROVE BLVD STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786971",
            "telephone_number": "916-622-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI MITCHELL LICENSED PROFESSIONAL CLINICAL COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CLINICAL COU",
        "authorized_official_telephone_number": "916-622-2155",
        "authorized_official_credential": "LPCC 17022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.