Jennifer Adderly

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT88485 Issued in CA

Practice address

4427 Coventry Cir
Las Vegas, NV 89121-5737

Phone

(323) 445-5678

NPI assigned

Aug 18, 2021

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Jennifer Adderly, LMFT

  • Adult Mental Health Clinic/Center
  • West Hollywood, CA
  • NPI 1598137358
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1053087221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 STEARNS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354628",
            "telephone_number": "323-445-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 COVENTRY CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215737",
            "telephone_number": "323-445-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDERLY",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT88485",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "5181-R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598137358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pranav Adavi, DO
• Juliana Addai
• Annette Addams
• Adde Medical Professional Inc
• Adde Pca Care, Inc
• Addiction Recovery Centers PLC
• Addiction Recovery Partners
• Addie's Home Care Inc
• Addison Holdings, Inc. (Hillside Manor at Mountains Edge)
• George Richard Addison III, M.S. ED.

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.