Diane Kathryn Dudek, AMFT, CADC-II, ICADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT152296 Issued in CA

Practice address

1278 N Eastbury Ave
Covina, CA 91722-1481

Phone

(951) 710-4156

NPI assigned

Apr 10, 2012

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Diane Kathryn Randall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Bernardino, CA
  • NPI 1053180307
  NPD (past)
• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colton, CA
  • NPI 1740059088
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326304734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 N EASTBURY AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221481",
            "telephone_number": "951-710-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 N EASTBURY AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221481",
            "telephone_number": "951-710-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "DIANE",
        "middle_name": "KATHRYN",
        "credential": "AMFT, CADC-II, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A05190315",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT152296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS",
            "identifier": "A05190315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "AMFT152296",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "RANDALL",
            "middle_name": "KATHRYN",
            "credential": "CADC-II, ICADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Covina, CA
• Providers in Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.