Active NPI
Mara Ellen Dubois
- Professional Counselor
- Doylestown, PA
National Provider Identifier
1639316235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003408
- Practice address
- 96 W Court St
Doylestown, PA 18901-4213 - Phone
- (215) 589-4819
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC003408 | PA | Primary |
Addresses
Primary practice location
96 W Court St
Doylestown, PA 18901-4213
Mailing address
3108 E Brighton St
Furlong, PA 18925-1547
Phone (215) 589-4819
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC003408 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1639316235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 E BRIGHTON ST",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251547",
"telephone_number": "215-589-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 W COURT ST",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189014213",
"telephone_number": "215-589-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "MARA",
"middle_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.