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SUSAN ELLEN KUDLICK
NPI 1528255874
Marriage & Family Therapist in Palmdale, CA

Active since October 01, 2007PECOS EnrolledAccepts Medicare Assignment
1529 E PALMDALE BLVD STE 150, PALMDALE, CA 93550(661) 575-1800 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Ellen Kudlick NPPES

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

SUSAN ELLEN KUDLICK (NPI 1528255874) is an individual marriage & family therapist in Palmdale, California, licensed in California (MFC47881) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528255874
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN ELLEN KUDLICK
Location Address1529 E PALMDALE BLVD STE 150Palmdale, CA 93550-2038
Mailing Address44900 60th St. West, Rm 307, High Desert Health SystemLancaster, CA 93536 · (661) 524-2493 · Fax (661) 524-2495
Phone(661) 575-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 1, 2007
Last NPPES UpdateAugust 16, 2019
✔ NPI 1528255874 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 · MFC47881
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.
1529 E PALMDALE BLVD STE 150, Palmdale, CA 93550
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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

Susan Ellen Kudlick 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 ID8820440951
PECOS Enrollment IDI20240114000164
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 Susan Kudlick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
0.8 mi
Mental Health (Including Community Mental Health Center)
2260 E PALMDALE BLVD STE J
Palmdale, CA 93550
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1881627420 (661) 575-1800

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 18

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

MS. CARMEN DENICE MCCLAIN LCSW
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
MARLENE ESMERALDA BRAN
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
JAOQUIN NAVARRO
Case Manager/Care Coordinator
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
MICHELLE LYN CORRALES
Community Health Worker
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
MS. YESICA CABRERA LMFT
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
YECICA VENTURA MSW, ACSW
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
AALIYAH NATALIE BROWN
Rehabilitation Practitioner
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800
JEFFREY HERNANDEZ RABE
Registered Nurse (Psychiatric/Mental Health)
1529 E PALMDALE BLVD STE 150
PALMDALE, CA 93550
Los Angeles County (661) 575-1800

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 Susan Kudlick's NPI number?

The NPI number for Susan Kudlick is 1528255874. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Where is Susan Kudlick located?

Susan Kudlick practices at 1529 E Palmdale Blvd Ste 150, Palmdale, CA 93550. The listed phone number is (661) 575-1800.

What is Susan Kudlick's specialty?

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

Is Susan Kudlick enrolled in Medicare?

Yes. Susan Kudlick 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 Susan Kudlick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kudlick reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Palmdale, 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 Susan Kudlick'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 Susan Kudlick was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.