Justin Dobrenz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 77287 Issued in CA

Practice address

3191 Churn Creek Rd
Redding, CA 96002-2123

Phone

(530) 224-7160

Fax

(530) 224-3454

NPI assigned

Apr 20, 2012

Last updated

Mar 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 17, 2025 through Jul 17, 2027

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.

• Remi Vista Inc.

  • Community/Behavioral Health Agency
  • Redding, CA
  • NPI 1194778803
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1740547256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022123",
            "telephone_number": "530-224-7160",
            "fax_number": "530-224-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022123",
            "telephone_number": "530-224-7160",
            "fax_number": "530-224-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRENZ",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 77287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy V Ditchey, M.D.
• Taylor Nicole Dittman
• Divine Right Transport, LLC
• Divine Right Transportation
• Darcy Doak
• Shianna Dockins
• Docs Medical Group Inc
• Duane E Dodds, O.D.
• Patricia Dodds
• Christi Paulina Dodson

• 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 Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.