JENNIFER ADDERLY
NPI 1053087221
Marriage & Family Therapist in Las Vegas, NV
About Jennifer Adderly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER ADDERLY (NPI 1053087221) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in California (LMFT88485) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Adderly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Adderly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Adderly's NPI number?
The NPI number for Jennifer Adderly is 1053087221. It was assigned to this individual provider in the NPPES registry on August 18, 2021.
Where is Jennifer Adderly located?
Jennifer Adderly practices at 4427 Coventry Cir, Las Vegas, NV 89121. The listed phone number is (323) 445-5678.
What is Jennifer Adderly's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jennifer Adderly enrolled in Medicare?
Yes. Jennifer Adderly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Adderly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Adderly reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Adderly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Adderly was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Adderly · NPI 1053087221
Marriage & Family Therapist provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since August 18, 2021.
## Identity
- **NPI:** 1053087221 (Entity type: Individual)
- **Enumerated:** August 18, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT88485 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4427 COVENTRY CIR, Las Vegas, NV 89121-5737
- **Phone:** (323) 445-5678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2026
- **Other identifiers:** Other 1598137358 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053087221) · Data from the CMS NPPES public registry.