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National Provider Identifier (NPI) CYBHI Fee Schedule Program Enrollment
Once your NPI has been established, please complete the following prompts to be added into billing system.
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First Name
Your answer
Last Name
Your answer
Email
Your answer
Practitioner Type
Choose
Alcohol and other Drug counselor
Assoc Marriage and Family therapist
Assoc Professional Clinical Counselor
Audiologist with Valid Cred
Certified Nurse Practitioner
Certified Occ Therapy Assist
Certified Public Health Nurse
Community Health Worker
Credentialed School Counselor
Credentialed School Psych
Credentialed School Social Worker
LEA Admin
Licensed Audiologist
Licensed Clinical Social Worker
Licensed Educ Psych
Licensed Marriage and Family therapist
Licensed Occup therapist assistant
Licensed Optometrist
Licensed Physical therapist
Licensed Physical therapist assistant
Licensed Physician Assistant
Licensed Physician/Psych
Licensed Proff Clinical counselor
Licensed Psych
Licensed Registered Nurse
Licensed Respiratory Care Practitioner
Licensed Speech-Lang Pathologist
Licensed Speech-Lang Pathologist with Valid Cred
Licensed vocational nurse
Occ Therapist
Orientation Therapist
Orientation and Mobility Specialist
Physical Therapy assistant
Physician Assistant
Program Specialist
Psychology Assistant
Registered Assoc Clinical Social Worker
Registered Cred School Nurse
Registered Dietician
Registered School Audiologist
Speech-Lang Pathologist with Valid Cred
Speech-Lang Pathology Assist
Trained Healthcare Aide
Wellness Coach
Employer
Choose
Glenn County Office of Education
Capay Joint Union Elementary School District
Hamilton Unified School District
Lake Elementary School District
Orland Unified School District
Plaza Elementary School District
Princeton Joint Unified School District
Stony Creek Joint Unified School District
Willows Unified School District
Walden Academy Charter
Contracted Agency (Community Based Organization)-CAD, HHSA, TCCAP)
Contracted Agency-North Star Wellness Center, CBO
Supervising Practitioner
Choose
Physicians
Licensed Mental Health Professional (LCSWs, LMFTs, LPCCs)
School Counselors-Pupil Personnel Services (PPS) Credentialed Practitioner
School Psychologist--Pupil Personnel Services (PPS) Credentialed Practitioner
School Social Worker--Pupil Personnel Services (PPS) Credentialed Practitioner
Nurse Practitioner--Pupil Personnel Services (PPS) Credentialed Practitioner
Physician Assistant--Pupil Personnel Services (PPS) Credentialed Practitioner
Authorizing ORP (Ordering, Referring, and Prescribing) Provider
Choose
My District has identified an ORP for services.
My District would like technical assistance in contracting an ORP.
Taxonomy Title & Code
Choose
Clinical Social Worker - 1041C0700X
Community Health Worker - 172V00000X
Licensed Professional Clinical Counselor - 101YP2500X
Marriage and Family Therapist - 106H00000X
PPS Counselor - 101YS0200X
PPS Psychologist - 103TS0200X
PPS Social Worker - 1041S0200X
Social Worker - 104100000X
Wellness Coach - 171400000X
NPI Number
Your answer
License Credential Type (if applicable)
Your answer
License Credential Number (if applicable)
Your answer
Expiration Date (WCs require recert every 2 years)
Your answer
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