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DAMON DODGE LMFT 99912
NPI 1912304775
Marriage & Family Therapist in Los Angeles, CA

Active since November 21, 2014Opted out of Medicare · through Feb 27, 2028
7083 HOLLYWOOD BLVD, LOS ANGELES, CA 90028(323) 332-1325 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2019, Aug 27, 2018, Dec 31, 2016 (3 updates tracked since 2016).

About Damon Dodge Lmft 99912 NPPES

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

DAMON DODGE LMFT 99912 (NPI 1912304775) is an individual marriage & family therapist in Los Angeles, California, licensed in California (99912) and active in the NPI registry since November 2014. He has opted out of Medicare through February 27, 2028 and maintains a secondary practice location in Beverly Hills.

NPPES Registry Identity

NPI1912304775
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDAMON DODGECredential: LMFT 99912
Location Address7083 HOLLYWOOD BLVDLos Angeles, CA 90028
Mailing Address7083 Hollywood BlvdLos Angeles, CA 90028-8901 · (323) 332-1325
Phone(323) 332-1325
Sole ProprietorNo
Enumeration DateNovember 21, 2014
Last NPPES UpdateSeptember 23, 20193 updates tracked since enumeration
✔ NPI 1912304775 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 · 99912
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.
7083 HOLLYWOOD BLVD, Los Angeles, CA 90028
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Secondary Practice Location 1

Location 1315 S Beverly Dr Ste 300Beverly Hills, CA 90212 · Phone (323) 332-1325

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Damon Dodge Lmft 99912 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 February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

THERAPY FOR RESULTS, MARRIAGE & FAMILY, INC.
Marriage & Family Therapist
7083 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 332-1325
BRIANA REED LMT
Massage Therapist
7083 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Los Angeles County (415) 867-5858

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 Damon Dodge's NPI number?

The NPI number for Damon Dodge is 1912304775. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Damon Dodge located?

Damon Dodge practices at 7083 Hollywood Blvd, Los Angeles, CA 90028. The listed phone number is (323) 332-1325.

What is Damon Dodge's specialty?

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

Is Damon Dodge enrolled in Medicare?

No. Damon Dodge has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Damon Dodge was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.