Individual provider Active NPI

Theresa Lynn Dubois, THERESA DUBOIS

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1538301775
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45316 Issued in CA
Practice address
500 S Anaheim Hills Rd
Suite 202
Anaheim, CA 92807-4780
Phone
(714) 686-2524
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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 45316 CA Primary

Addresses

Primary practice location

500 S Anaheim Hills Rd
Suite 202
Anaheim, CA 92807-4780

Mailing address

500 S Anaheim Hills Rd
Suite 202
Anaheim, CA 92807-4780
Phone (714) 686-2524

Other names 1

  • Theresa Lynn Dubois Professional name

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
45316CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1538301775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-686-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-686-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "THERESA DUBOIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "DUBOIS",
            "middle_name": "LYNN",
            "credential": "THERESA DUBOIS, M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.