KENDRA BOTT MFTSTUDENT INTERN
NPI 1639580459
Marriage & Family Therapist in North Las Vegas, NV

Active since May 14, 2014PECOS Enrolled
3812 TAYLOR ROCK CT, NORTH LAS VEGAS, NV 89031(702) 907-3071 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendra Bott Mftstudent Intern NPPES

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

KENDRA BOTT MFTSTUDENT INTERN (NPI 1639580459) is an individual marriage & family therapist in North Las Vegas, Nevada, licensed in Nevada (2646) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639580459
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKENDRA BOTTCredential: MFTSTUDENT INTERN
Location Address3812 TAYLOR ROCK CTNorth Las Vegas, NV 89031-2084
Mailing Address3812 Taylor Rock CtNorth Las Vegas, NV 89031-2084 · (702) 281-3833
Sole ProprietorYes
Enumeration DateMay 14, 2014
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1639580459 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 NV · 2646
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.
3812 TAYLOR ROCK CT, North Las Vegas, NV 89031

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Bott Mftstudent Intern 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.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Bott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
8945 W RUSSELL RD STE 110
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bott's NPI number?

The NPI number for Kendra Bott is 1639580459. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Kendra Bott located?

Kendra Bott practices at 3812 Taylor Rock Ct, North Las Vegas, NV 89031. The listed phone number is (702) 907-3071.

What is Kendra Bott's specialty?

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

Is Kendra Bott enrolled in Medicare?

Yes. Kendra Bott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendra Bott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Bott reassigns Medicare benefits to Genesis New Beginnings LLC (Las Vegas, NV). 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 Bott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Bott accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Kendra Bott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Bott was last updated on May 3, 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.