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MRS. JEAN ELIZABETH DUDLEY LMFT
NPI 1114593738
Marriage & Family Therapist in San Diego, CA

Active since June 03, 2021PECOS Enrolled
6906 MIRAMAR RD STE C-164, SAN DIEGO, CA 92121(281) 782-1359 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Jun 3, 2021 (2 updates tracked since 2021).

About Mrs. Jean Elizabeth Dudley Lmft NPPES

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

MRS. JEAN ELIZABETH DUDLEY LMFT (NPI 1114593738) is an individual marriage & family therapist in San Diego, California, licensed in California (124413) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114593738
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JEAN ELIZABETH DUDLEYCredential: LMFT
Location Address6906 MIRAMAR RD STE C-164San Diego, CA 92121-2666
Mailing Address6906 Miramar Rd Ste C-164San Diego, CA 92121-2666 · (281) 782-1359
Phone(281) 782-1359
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 3, 2021
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1114593738 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 · 124413
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.
6906 MIRAMAR RD STE C-164, San Diego, CA 92121
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Other Names 1

Former Name (1)Ms. Jean Elizabeth Cook Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jean Elizabeth Dudley Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698256345
PECOS Enrollment IDI20260220003083
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.

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 Jean Dudley's NPI number?

The NPI number for Jean Dudley is 1114593738. It was assigned to this individual provider in the NPPES registry on June 3, 2021. The provider is also known as Ms. Jean Elizabeth Cook Lmft.

Where is Jean Dudley located?

Jean Dudley practices at 6906 Miramar Rd Ste C-164, San Diego, CA 92121. The listed phone number is (281) 782-1359.

What is Jean Dudley's specialty?

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

Is Jean Dudley enrolled in Medicare?

Yes. Jean Dudley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jean Dudley was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.