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BETTY AVERY LMFT
NPI 1417489733
Marriage & Family Therapist in Victorville, CA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
12469 KOKOMO CIR, VICTORVILLE, CA 92392(760) 503-5272 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jun 10, 2025, Jan 2, 2019 and 1 more (4 updates tracked since 2017).

About Betty Avery Lmft NPPES

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

BETTY AVERY LMFT (NPI 1417489733) is an individual marriage & family therapist in Victorville, California, licensed in California (128189) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417489733
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBETTY AVERYCredential: LMFT
Location Address12469 KOKOMO CIRVictorville, CA 92392-7484
Mailing AddressPo Box 2566Victorville, CA 92393-2566 · (760) 503-5272
Phone(760) 503-5272
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1417489733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 128189✔ Licensed in CA · 83124
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.
12469 KOKOMO CIR, Victorville, CA 92392
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Other Identifiers 1

Medicaid90-0996079CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betty Avery Lmft 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 ID7618328030
PECOS Enrollment IDI20240110003305
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.

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 Betty Avery's NPI number?

The NPI number for Betty Avery is 1417489733. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Betty Avery located?

Betty Avery practices at 12469 Kokomo Cir, Victorville, CA 92392. The listed phone number is (760) 503-5272.

What is Betty Avery's specialty?

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

Is Betty Avery enrolled in Medicare?

Yes. Betty Avery 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.

When was this NPI record last updated?

The NPPES record for Betty Avery was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.