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

Q: 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.

Q: What is Mary Dousette'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 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 12 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.

Active since May 04, 2007PECOS Enrolled

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: September 27, 2026.

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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 is enrolled in Medicare PECOS.

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

✔

Enrolled in Medicare (PECOS)

Dr. Mary Theresa Dousette Phd Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

RYAN VARON LMFT

Marriage & Family Therapist