EDMOND L OTIS
NPI 1619681251
Marriage & Family Therapist in Moreno Valley, CA

Q: What is Edmond Otis's NPI number?

The NPI number for Edmond Otis is 1619681251. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Edmond Otis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edmond Otis was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 09, 2023PECOS Enrolled

26449 BODEGA CT, MORENO VALLEY, CA 92555(760) 612-7029 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edmond L Otis NPPES

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

EDMOND L OTIS (NPI 1619681251) is an individual marriage & family therapist in Moreno Valley, California, licensed in California (31194) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619681251

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameEDMOND L OTIS

Location Address26449 BODEGA CTMoreno Valley, CA 92555-2461

Mailing Address1242 University Ave Ste 6-570Riverside, CA 92507-8810 · (760) 612-7029

Phone(760) 612-7029

Sole ProprietorYes

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 9, 2023

✔ NPI 1619681251 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 · 31194

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.

26449 BODEGA CT, Moreno Valley, CA 92555

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmond L Otis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Edmond Otis's NPI number?

The NPI number for Edmond Otis is 1619681251. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Edmond Otis located?

Edmond Otis practices at 26449 Bodega Ct, Moreno Valley, CA 92555. The listed phone number is (760) 612-7029.

What is Edmond Otis's specialty?

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

Is Edmond Otis enrolled in Medicare?

Yes. Edmond Otis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edmond Otis was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.