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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. DEZRYELLE MARIE CLOUSE
NPI 1114206117
Marriage & Family Therapist in Edmonds, WA

Active since August 08, 2011Opted out of Medicare · through Jan 1, 2028
209 DAYTON ST STE 107B, EDMONDS, WA 98020(360) 768-4851 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Oct 7, 2023, May 25, 2020 and 2 more (5 updates tracked since 2018).

About Ms. Dezryelle Marie Clouse NPPES

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

MS. DEZRYELLE MARIE CLOUSE (NPI 1114206117) is an individual marriage & family therapist in Edmonds, Washington, licensed in Washington (60608697) and active in the NPI registry since August 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1114206117
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. DEZRYELLE MARIE CLOUSE
Location Address209 DAYTON ST STE 107BEdmonds, WA 98020-3581
Mailing Address209 Dayton St Ste 107bEdmonds, WA 98020-3581 · (360) 768-4851
Phone(360) 768-4851
Sole ProprietorNo
Enumeration DateAugust 8, 2011
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1114206117 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 WA · 60608697✔ Licensed in CA · 86685
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.
209 DAYTON ST STE 107B, Edmonds, WA 98020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Dezryelle Marie Clouse has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

SATYA WELLNESS COLLECTIVE, LLC
Marriage & Family Therapist
209 DAYTON ST STE 107B
EDMONDS, WA 98020
Snohomish County (360) 768-4851

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 Dezryelle Clouse's NPI number?

The NPI number for Dezryelle Clouse is 1114206117. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Dezryelle Clouse located?

Dezryelle Clouse practices at 209 Dayton St Ste 107B, Edmonds, WA 98020. The listed phone number is (360) 768-4851.

What is Dezryelle Clouse's specialty?

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

Is Dezryelle Clouse enrolled in Medicare?

No. Dezryelle Clouse has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Dezryelle Clouse accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dezryelle Clouse 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 Dezryelle Clouse was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.