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MRS. KENDRA MARIE LIEDTKE MSW, LCSW
NPI 1295811891
Social Worker - Clinical in Aurora, CO

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
11059 E BETHANY DR, SUITE 200, AURORA, CO 80014(303) 617-2331(303) 617-2398 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kendra Marie Liedtke Msw, Lcsw NPPES

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

MRS. KENDRA MARIE LIEDTKE MSW, LCSW (NPI 1295811891) is an individual clinical provider in Aurora, Colorado, licensed in Colorado (992871) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295811891
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KENDRA MARIE LIEDTKECredential: MSW, LCSW
Location Address11059 E BETHANY DR, SUITE 200Aurora, CO 80014-2622
Mailing Address11059 E Bethany Dr, Suite 200Aurora, CO 80014-2622 · (303) 617-2331 · Fax (303) 617-2398
Phone(303) 617-2331
Fax(303) 617-2398
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295811891 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 CO · 992871
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.
11059 E BETHANY DR, Aurora, CO 80014
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Other Names 1

Former Name (1)Kendra Marie Lubrant

Other Identifiers 1

Medicaid58587748CO

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

Mrs. Kendra Marie Liedtke Msw, Lcsw 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 ID4981675592
PECOS Enrollment IDI20040805000296
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 Kendra Liedtke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

In The Moment Counseling, LLC
20 mi
Clinical
201 S WILCOX ST, SUITE 202
Castle Rock, CO 80104
  • Reassigned Medicare billing, Colorado enrollment
NPI 1417335035 (720) 295-1199

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 80014 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

TERESA LINN RAWLINS
Case Manager/Care Coordinator
11059 E BETHANY DR, SUITE #200
AURORA, CO 80014
Arapahoe County (303) 617-2579
LAURA L TALAMANTES
Counselor (Mental Health)
11059 E BETHANY DR, SUITE 101
AURORA, CO 80014
Arapahoe County (303) 617-2300
DAWN ELIZABETH DARNELL LAC, LPCC., CH.T
Counselor (Professional)
11059 E BETHANY DR
AURORA, CO 80014
Arapahoe County (303) 617-2300
MARYELLEN MONTANO
Case Manager/Care Coordinator
11059 E BETHANY DR, STE 200
AURORA, CO 80014
Arapahoe County (303) 617-2342
CLEOPATRA JOSEPHINE B. WILSON
Case Manager/Care Coordinator
11059 E BETHANY DR
AURORA, CO 80014
Arapahoe County (303) 617-2300
DR. RICHARD MARVIN SWANSON PH. D.
Psychologist (Forensic)
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Arapahoe County (303) 617-2574
MARY ALICE PARKS LCSW
Social Worker (Clinical)
11059 E BETHANY DR, SUITE 101
AURORA, CO 80014
Arapahoe County (303) 617-2469
VICTORIA ELIZABETH SPRAGUE CAC II
Case Manager/Care Coordinator
11059 E BETHANY DR, SUITE 200
AURORA, CO 80014
Arapahoe County (303) 617-2300

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 Kendra Liedtke's NPI number?

The NPI number for Kendra Liedtke is 1295811891. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Kendra Marie Lubrant.

Where is Kendra Liedtke located?

Kendra Liedtke practices at 11059 E Bethany Dr Suite 200, Aurora, CO 80014. The listed phone number is (303) 617-2331.

What is Kendra Liedtke's specialty?

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

Is Kendra Liedtke enrolled in Medicare?

Yes. Kendra Liedtke 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 organization bills Medicare for Kendra Liedtke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Liedtke reassigns Medicare benefits to In The Moment Counseling, LLC (Castle Rock, CO). 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 Kendra Liedtke'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 Kendra Liedtke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.