Kristi Anderson Wilson, LPCC in San Ramon, CA

Kristi Anderson Wilson, LPCC is a medicare enrolled "Counselor - Professional" provider in San Ramon, California. Her current practice location is 111 Deerwood Rd Ste 200, San Ramon, California. You can reach out to her office (for appointments etc.) via phone at (925) 967-3324.

Kristi Anderson Wilson is licensed to practice in California (license number 436) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649697822.

Contact Information

	Kristi Anderson Wilson, LPCC
	111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445
	(925) 967-3324
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristi Anderson Wilson
Gender	Female
Speciality	Counselor - Professional
Location	111 Deerwood Rd Ste 200, San Ramon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649697822
Provider Enumeration Date: 03/25/2014
Last Update Date: 09/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7517309487
Enrollment ID: I20240523000583

Medical Identifiers

Medical identifiers for Kristi Anderson Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649697822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0500391 (Ohio)	Secondary
101YP2500X	Counselor - Professional	436 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristi Anderson Wilson allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700407517 PECOS PAC ID: 4385000587 Enrollment ID: O20230512001969

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristi Anderson Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristi Anderson Wilson, LPCC 111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445 Ph: (925) 967-3324	Kristi Anderson Wilson, LPCC 111 Deerwood Rd Ste 200, San Ramon, CA 94583-4445 Ph: (925) 967-3324

Reviews and Comments

Counselor in San Ramon, CA

Patrick Haven Venetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Julie Diekmann, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Sunny Zhang, A.B. Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 Fuchsia Ln, San Ramon, CA 94582 Phone: 925-858-8865
Carol Ann Wood, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2723 Crow Canyon Rd, Suite 209-b, San Ramon, CA 94583 Phone: 925-785-8402 Fax: 925-830-9008
Alexis Lee Nelson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Jennifer Renee Davis, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2817 Crow Canyon Rd Ste 103, San Ramon, CA 94583 Phone: 925-298-7172 Fax: 925-208-1173
Jazmyne Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Pamplona Ct, San Ramon, CA 94583 Phone: 925-330-1434

Kristi Anderson Wilson, LPCC - Medicare Counselor in San Ramon, CA