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Kendra Renee Godfrey

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1223 Wilshire Blvd # 129, Santa Monica, CA 90403-5406

PECOS Enrollment

This provider is enrolled in PECOS as KENDRA GODFREY.

Based on the most recent information from CMS, provider Kendra Renee Godfrey is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1669159075
Provider Type
Individual
Full Name
Godfrey, Kendra Renee
Title
Mrs.
Credential
LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
6/28/2023
Last Updated
12/8/2025

Contact Information

Practice Location

1223 Wilshire Blvd # 129, Santa Monica, CA 90403-5406

(310) 220-4021

Unlisted Fax

Mailing Location

1223 Wilshire Blvd # 129, Santa Monica, CA 90403-5406

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 155409 California

Kendra Renee Godfrey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hernandez, Lisa Marie

Canales, Carrie

Nord, Jeffrey E

Wolfe-Grady, Alexandria

Ottman, Jennifer Claire

Mancewicz, Richelle

Poper, Jacquelyn

Myrow, Shira

Gersh, Claudia

Ab Family Therapist Professional Corporation