MRS. JEAN ELIZABETH DUDLEY LMFT
NPI 1114593738
Marriage & Family Therapist in San Diego, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jean Elizabeth Dudley Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jean Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Jean Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Dudley reassigns Medicare benefits to Cyti Health PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Mrs. Jean Elizabeth Dudley, LMFT · NPI 1114593738
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 3, 2021.
## Identity
- **NPI:** 1114593738 (Entity type: Individual)
- **Enumerated:** June 3, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 124413 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6906 MIRAMAR RD STE C-164, San Diego, CA 92121-2666
- **Phone:** (281) 782-1359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cyti Health PC (NPI 1679172290, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114593738) · Data from the CMS NPPES public registry.