Mania Deldar Doucette

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

94999 Issued in CA

Practice address

1501 Corporate Way Ste 200
Sacramento, CA 95831

Phone

(530) 830-2699

NPI assigned

Oct 19, 2011

Sex

Female

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

Locations

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.

• Peaceful Heart Family Counseling, a Professional Corporation

  • Mental Health Counselor
  • Sacramento, CA
  • NPI 1497409940
  NPD Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1548545882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 APPLEWOOD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952428319",
            "telephone_number": "530-830-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE WAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "530-830-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Corporate Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95831",
            "country_code": "US",
            "telephone_number": "530-830-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "MANIA",
        "middle_name": "DELDAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Dote
• Jacqueline Claire Dotson, LCSW
• Kathy Lee Dotson
• Amanda Kathryn Taylor Doty
• Shannon Christine Doty, LMFT
• Paul Robert Doucot, DPT, CSCS
• Mariam Dougan Gabisi
• Adam P Dougherty, MPH
• Colten Dougherty, DPM
• Michael A Dougherty, PHD

• Mental Health Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.