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DR. MARY THERESA DOUSETTE PHD MFT
NPI 1912119876
Marriage & Family Therapist in Toluca Lake, CA

Active since May 04, 2007Opted out of Medicare · through Oct 1, 2026
4507 AUCKLAND AVE, TOLUCA LAKE, CA 91602(818) 980-0202(818) 952-8635 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Theresa Dousette Phd Mft NPPES

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

DR. MARY THERESA DOUSETTE PHD MFT (NPI 1912119876) is an individual marriage & family therapist in Toluca Lake, California, licensed in California (MK22157) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912119876
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. MARY THERESA DOUSETTECredential: PHD MFT
Location Address4507 AUCKLAND AVEToluca Lake, CA 91602
Mailing Address4507 Auckland AveToluca Lake, CA 91602 · (818) 980-0202 · Fax (818) 952-8635
Phone(818) 980-0202
Fax(818) 952-8635
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1912119876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MK22157
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 ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY18158 (CA)

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

ⓘ

Opted out of Medicare

Dr. Mary Theresa Dousette Phd Mft 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 October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-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 4

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

RYAN VARON LMFT
Marriage & Family Therapist
4507 AUCKLAND AVE
TOLUCA LAKE, CA 91602
Los Angeles County (818) 208-7191
NICOLE FRIEDMAN GOLDBERG LMFT
Marriage & Family Therapist
4507 AUCKLAND AVE
TOLUCA LAKE, CA 91602
Los Angeles County (818) 381-9965
NFG FAMILY THERAPY
Counselor (Mental Health)
4507 AUCKLAND AVE
TOLUCA LAKE, CA 91602
Los Angeles County (818) 381-9965
VISTA CENTER FOR COUNSELING AND PSYCHOTHERAPY
Marriage & Family Therapist
4507 AUCKLAND AVE
TOLUCA LAKE, CA 91602
Los Angeles County (818) 980-0202

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 Dousette's NPI number?

The NPI number for Mary Dousette is 1912119876. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Mary Dousette located?

Mary Dousette practices at 4507 Auckland Ave, Toluca Lake, CA 91602. The listed phone number is (818) 980-0202.

What is Mary Dousette's specialty?

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

Is Mary Dousette enrolled in Medicare?

No. Mary Dousette has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mary Dousette accept?

Health plans from Providence Health Plan list Mary Dousette 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 Dousette was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.