MR. ERIC SCOTT DOUGLASS LMFT - NPI 1215017900 - Marriage & Family Therapist in Visalia, CA

Q: What is Eric Douglass's NPI number?

The NPI number for Eric Douglass is 1215017900. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Eric Douglass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Douglass was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Mr. Eric Scott Douglass Lmft NPPES

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

MR. ERIC SCOTT DOUGLASS LMFT (NPI 1215017900) is an individual marriage & family therapist in Visalia, California, licensed in California (MFC 36483) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hanford, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1215017900

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ERIC SCOTT DOUGLASSCredential: LMFT

Location Address1910 S COURT STVisalia, CA 93277-5426

Mailing Address1910 S Court StVisalia, CA 93277-5426 · (559) 627-3775 · Fax (559) 627-8444

Phone(559) 627-3775

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 16, 2006

Last NPPES UpdateJanuary 9, 2019

✔ NPI 1215017900 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 · MFC 36483

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.

1910 S COURT ST, Visalia, CA 93277

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Secondary Practice Location 1

Location 11393 Bailey StHanford, CA 93230 · Phone (559) 582-4481 ext. 199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eric Scott Douglass Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800249186

PECOS Enrollment IDI20240202001860

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.

Other Providers at the Same Location NPPES 10

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

URSULA ALMEIDA LMFT

Marriage & Family Therapist