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MRS. MARY BERGENS DODSON LMFT
NPI 1114492956
Marriage & Family Therapist in Biloxi, MS

Active since October 08, 2018Opted out of Medicare · through Feb 15, 2028
2620 EXECUTIVE PL, BILOXI, MS 39531(228) 385-7744(228) 385-5165 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2025, Oct 8, 2018 (2 updates tracked since 2018).

About Mrs. Mary Bergens Dodson Lmft NPPES

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

MRS. MARY BERGENS DODSON LMFT (NPI 1114492956) is an individual marriage & family therapist in Biloxi, Mississippi, licensed in Mississippi (T0510) and active in the NPI registry since October 2018. She has opted out of Medicare through February 15, 2028 and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1114492956
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. MARY BERGENS DODSONCredential: LMFT
Location Address2620 EXECUTIVE PLBiloxi, MS 39531-3717
Mailing Address16109 S April DrGulfport, MS 39503-4181 · (985) 774-4076 · Fax (228) 385-5165
Phone(228) 385-7744
Fax(228) 385-5165
Sole ProprietorYes
Enumeration DateOctober 8, 2018
Last NPPES UpdateJanuary 12, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2025
✔ NPI 1114492956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MS · T0510
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License T0510 (MS)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License T0510 (MS)
Also ListedCase ManagementTaxonomy 251B00000X · License T0510 (MS)
2620 EXECUTIVE PL, Biloxi, MS 39531
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Other Names 1

Former Name (1)Miss Mary Elizabeth Bergens

Secondary Practice Location 1

Location 116109 S April DrGulfport, MS 39503-4181 · Phone (985) 774-4076 · Fax (228) 385-5165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Mrs. Mary Bergens Dodson Lmft 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 February 15, 2024 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2024
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

PSYCAMORE, LLC
Clinic/Center (Adult Mental Health)
2620 EXECUTIVE PL
BILOXI, MS 39531
Harrison County (228) 385-7744
TAYLOR RITCHEY MS, LPC, NCC
Counselor (Professional)
2620 EXECUTIVE PL
BILOXI, MS 39531
Harrison County (228) 385-7744
CATHERINE KOONTZ ROGERS MD
Psychiatry & Neurology (Psychiatry)
2620 EXECUTIVE PL
BILOXI, MS 39531
Harrison County (228) 385-7744
PASCAL DAVIS FRAISSE LCSW
Social Worker (Clinical)
2620 EXECUTIVE PL
BILOXI, MS 39531
Harrison County (228) 385-7744
MR. GABRIEL TAYLOR LPC
Counselor (Mental Health)
2620 EXECUTIVE PL
BILOXI, MS 39531
Harrison County (228) 385-7744

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 Mary Dodson's NPI number?

The NPI number for Mary Dodson is 1114492956. It was assigned to this individual provider in the NPPES registry on October 8, 2018. The provider is also known as Miss Mary Elizabeth Bergens.

Where is Mary Dodson located?

Mary Dodson practices at 2620 Executive Pl, Biloxi, MS 39531. The listed phone number is (228) 385-7744.

What is Mary Dodson's specialty?

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

Is Mary Dodson enrolled in Medicare?

No. Mary Dodson has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mary Dodson accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Mary Dodson 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 Mary Dodson was last updated on January 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.