Mary B Dockter, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT39981 Issued in CA

Practice address

3527 Mt Diablo Blvd Ste 422
Lafayette, CA 94549-3815

Phone

(925) 683-0525

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1780125609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 MCALLISTER DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103963",
            "telephone_number": "925-683-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 MT DIABLO BLVD STE 422",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493815",
            "telephone_number": "925-683-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "MARY",
        "middle_name": "B",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT39981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Dennis
• John Henderson Devor, M.D.
• Diablo Valley Relationship Center
• Robert Barbero Dimartino, O.D.
• Alyssa Miguel Dizon, OTD
• Dijon Reshard Deonte Donaldson
• Diane Elizabeth Donnelly, MA
• Sarah Donnelly, LAC
• Thomas R Donovan, D.C.
• Sailaja Sreshta Donthineni, DDS

• Marriage & Family Therapist in Lafayette, CA
• Providers in Lafayette, 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 Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.