Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily McKillip

Individual provider Mental Health Counselor · NPI 1205426384

Emily McKillip is a Mental Health Counselor in San Clemente, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1100 Calle Del Cerro Apt 49
San Clemente, CA 92672-6025
Phone: (619) 933-6097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19858 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19858 (CA)

Record details

NPI number1205426384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address1100 Calle Del Cerro Apt 49, San Clemente, CA 92672-6025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Clemente