Individual provider Active NPI

Watha McLeain Dubonnet, MFT

  • Marriage & Family Therapist
  • Yreka, CA
National Provider Identifier
1083829865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 43199 Issued in CA
Practice address
2060 Campus Dr
Yreka, CA 96097-9538
Phone
(530) 841-4852
Fax
(530) 841-4881
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 43199 CA Primary

Addresses

Primary practice location

2060 Campus Dr
Yreka, CA 96097-9538

Mailing address

1860 Crestview Dr
Ashland, OR 97520-3512
Phone (530) 841-4852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT 43199CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083829865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CRESTVIEW DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203512",
            "telephone_number": "530-841-4852",
            "fax_number": "530-841-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CAMPUS DR",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979538",
            "telephone_number": "530-841-4852",
            "fax_number": "530-841-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBONNET",
        "first_name": "WATHA",
        "middle_name": "MCLEAIN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 43199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.