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KYLA MARIE ARDISON LCSW
NPI 1083239479
Social Worker - Clinical in Riverside, CA

Active since June 11, 2020PECOS Enrolled
3075 MYERS ST, RIVERSIDE, CA 92503(951) 358-6895 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Jun 11, 2020 (2 updates tracked since 2020).

About Kyla Marie Ardison Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLA MARIE ARDISON LCSW (NPI 1083239479) is an individual clinical provider in Riverside, California, licensed in California (137768) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083239479
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYLA MARIE ARDISONCredential: LCSW
Location Address3075 MYERS STRiverside, CA 92503-5525
Mailing Address3075 Myers StRiverside, CA 92503-5525 · (951) 358-6895
Phone(951) 358-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2020
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1083239479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 137768
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3075 MYERS ST, Riverside, CA 92503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyla Marie Ardison Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517423155
PECOS Enrollment IDI20260803003571
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyla Ardison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
351 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA TORRES HURTADO MSW
Social Worker (Clinical)
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
COUNTY OF RIVERSIDE
Community/Behavioral Health
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
OLIVIA NOVOA CMPPS
Peer Specialist
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 271-0188
JENIFER GONZALEZ BANUELOS
Social Worker
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-4625
AEISHA JACKSON
Social Worker (Clinical)
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-4625
MS. JENNIFER RUVALCABA
Social Worker (Clinical)
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-6895
MS. SHERI NORINE MARQUEZ LMFT
Marriage & Family Therapist
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-4625
COUNTY OF RIVERSIDE
Community/Behavioral Health
3075 MYERS ST
RIVERSIDE, CA 92503
Riverside County (951) 358-6895

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 Kyla Ardison's NPI number?

The NPI number for Kyla Ardison is 1083239479. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Kyla Ardison located?

Kyla Ardison practices at 3075 Myers St, Riverside, CA 92503. The listed phone number is (951) 358-6895.

What is Kyla Ardison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyla Ardison enrolled in Medicare?

Yes. Kyla Ardison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyla Ardison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyla Ardison reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Kyla Ardison'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 Kyla Ardison was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.