Joel Michael Dormer, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

152477 Issued in CA

Practice address

1400 Oregon St
Redding, CA 96001-1620

Phone

(530) 232-0525

NPI assigned

Jan 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Children'S Legacy Center

  • Adolescent and Children Mental Health Clinic/Center
  • Redding, CA
  • NPI 1932877552
  NPD (past)

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1346901840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013008",
            "telephone_number": "530-351-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OREGON ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011620",
            "telephone_number": "530-232-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Sonoma St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960013008",
            "country_code": "US",
            "telephone_number": "530-351-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMER",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dwayne Russell Dore I, CADCII
• Marina Dormer, LMFT
• Summer Jean Dormer
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• Chantry A. Dorrell, LCSW

• Marriage & Family Therapist in Redding, CA
• Providers in Redding, 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 Feb 3, 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.