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MISS KANDI MARTEL DUDLEY
NPI 1194845453
Marriage & Family Therapist in Cerritos, CA

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
17215 STUDEBAKER RD, SUITE 110, CERRITOS, CA 90703(323) 547-8977 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Kandi Martel Dudley NPPES

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

MISS KANDI MARTEL DUDLEY (NPI 1194845453) is an individual marriage & family therapist in Cerritos, California, licensed in California (47408) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194845453
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS KANDI MARTEL DUDLEY
Location Address17215 STUDEBAKER RD, SUITE 110Cerritos, CA 90703-2548
Mailing Address1336 Singingwood AvePomona, CA 91767-4114 · (323) 547-8977
Phone(323) 547-8977
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1194845453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 47408
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
17215 STUDEBAKER RD, Cerritos, CA 90703
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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 and accepts Medicare assignment

Miss Kandi Martel Dudley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365963121
PECOS Enrollment IDI20250310000918
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 Reassignments

2

Medicare enrollment records show Kandi Dudley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
320 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
326 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.

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.

MS. SANDRA KAISER KAUMAYA MFT
Marriage & Family Therapist
17215 STUDEBAKER RD, 180
CERRITOS, CA 90703
Los Angeles County (562) 841-0348
DR. CHRISTINE LOUISE DESANDRE PSY.D.
Psychologist (Clinical)
17215 STUDEBAKER RD, SUITE 110
CERRITOS, CA 90703
Los Angeles County (562) 860-2210
DENNIS D. STEELE, PHD A PSYCHOLOGICAL CORPORATION
Psychologist
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
DR. ALAN D. VU M.D.
Counselor (Mental Health)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
EVERGREEN HOME HEALTH, INC.
Home Health
17215 STUDEBAKER RD, STE 270
CERRITOS, CA 90703
Los Angeles County (562) 860-9444
MS. KYM STONE L.C.S.W
Social Worker (Clinical)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
JOHNNY EDROZO M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17215 STUDEBAKER RD, SUITE 300
CERRITOS, CA 90703
Los Angeles County (562) 924-7307
EVERGREEN CARE, INC.
In Home Supportive Care
17215 STUDEBAKER RD, SUITE 250
CERRITOS, CA 90703
Los Angeles County (562) 402-4299

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 Kandi Dudley's NPI number?

The NPI number for Kandi Dudley is 1194845453. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Kandi Dudley located?

Kandi Dudley practices at 17215 Studebaker Rd Suite 110, Cerritos, CA 90703. The listed phone number is (323) 547-8977.

What is Kandi Dudley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kandi Dudley enrolled in Medicare?

Yes. Kandi Dudley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kandi Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandi Dudley reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Kandi Dudley'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 Kandi Dudley was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.