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MISS REBECCA ANN OTTEN LMFT
NPI 1659405785
Marriage & Family Therapist in Clovis, CA

Active since March 14, 2007PECOS Enrolled
55 SHAW AVE STE 120, CLOVIS, CA 93612(559) 549-6066(559) 272-2202 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Rebecca Ann Otten Lmft NPPES

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

MISS REBECCA ANN OTTEN LMFT (NPI 1659405785) is an individual marriage & family therapist in Clovis, California, licensed in California (46527) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1659405785
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS REBECCA ANN OTTENCredential: LMFT
Location Address55 SHAW AVE STE 120Clovis, CA 93612
Mailing Address55 Shaw Ave Ste 120Clovis, CA 93612-3819 · (559) 549-6066 · Fax (559) 272-2202
Phone(559) 549-6066
Fax(559) 272-2202
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 1, 2018
✔ NPI 1659405785 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 · 46527✔ Licensed in CA · 45647
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.
55 SHAW AVE STE 120, Clovis, CA 93612
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Secondary Practice Location 1

Location 1160 S Fairmont BlvdAnaheim, CA 92808-1336 · Phone (714) 998-3272

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Rebecca Ann Otten Lmft 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 Reassignments

2

Medicare enrollment records show Rebecca Otten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
126 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
132 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 2

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

DERRIC DEVON BROWN SR.
Social Worker
55 SHAW AVE STE 120
CLOVIS, CA 93612
Fresno County (310) 421-5622
RENEW YOU WELLNESS
Counselor (Mental Health)
55 SHAW AVE STE 120
CLOVIS, CA 93612
Fresno County (559) 770-8199

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 Rebecca Otten's NPI number?

The NPI number for Rebecca Otten is 1659405785. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Rebecca Otten located?

Rebecca Otten practices at 55 Shaw Ave Ste 120, Clovis, CA 93612. The listed phone number is (559) 549-6066.

What is Rebecca Otten's specialty?

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

Is Rebecca Otten enrolled in Medicare?

Yes. Rebecca Otten is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rebecca Otten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Otten reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Rebecca Otten'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 Rebecca Otten was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.