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KYLA BREANNE MCCLURE
NPI 1750977344
Marriage & Family Therapist in Modesto, CA

Active since December 17, 2020PECOS EnrolledAccepts Medicare Assignment
1700 STANDIFORD AVE STE 355, MODESTO, CA 95350(855) 501-1004(209) 661-4673 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2024, Dec 17, 2020 (2 updates tracked since 2020).

About Kyla Breanne Mcclure NPPES

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

KYLA BREANNE MCCLURE (NPI 1750977344) is an individual marriage & family therapist in Modesto, California, licensed in California (149116) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750977344
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKYLA BREANNE MCCLURE
Location Address1700 STANDIFORD AVE STE 355Modesto, CA 95350-6534
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900
Phone(855) 501-1004
Fax(209) 661-4673
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2020
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1750977344 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 · 149116
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.
1700 STANDIFORD AVE STE 355, Modesto, CA 95350
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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

Kyla Breanne Mcclure 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 ID941734305
PECOS Enrollment IDI20241108000284
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 Kyla Mcclure reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark David Levine, M.D. Professional Corporation
14 mi
Psychiatry
302 CHERRY LN. STE 208
Manteca, CA 95337
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1366690398 (209) 823-2246

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 5

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

ANISSA BROWN
Nurse Practitioner (Psychiatric/Mental Health)
1700 STANDIFORD AVE STE 355
MODESTO, CA 95350
Stanislaus County (855) 501-1004
SHARARAH AZIZ
Nurse Practitioner (Psychiatric/Mental Health)
1700 STANDIFORD AVE STE 355
MODESTO, CA 95350
Stanislaus County (855) 501-1004
OSHA FREEMAN
Marriage & Family Therapist
1700 STANDIFORD AVE STE 355
MODESTO, CA 95350
Stanislaus County (855) 501-1004
JASLEEN KAUR TULI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1700 STANDIFORD AVE STE 355
MODESTO, CA 95350
Stanislaus County (209) 676-3069
DR. SYEDA RAZIA HAIDER MD
Psychiatry & Neurology (Psychiatry)
1700 STANDIFORD AVE STE 355
MODESTO, CA 95350
Stanislaus County (855) 501-1004

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 Kyla Mcclure's NPI number?

The NPI number for Kyla Mcclure is 1750977344. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Kyla Mcclure located?

Kyla Mcclure practices at 1700 Standiford Ave Ste 355, Modesto, CA 95350. The listed phone number is (855) 501-1004.

What is Kyla Mcclure's specialty?

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

Is Kyla Mcclure enrolled in Medicare?

Yes. Kyla Mcclure 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 Kyla Mcclure's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyla Mcclure reassigns Medicare benefits to Mark David Levine, M.D. Professional Corporation (Manteca, 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 Kyla Mcclure'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 Kyla Mcclure was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.