Individual provider Active NPI

Judy Dodgen, LMFT

  • Marriage & Family Therapist
  • Los Alamitos, CA
National Provider Identifier
1922558162
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44329 Issued in CA
Practice address
5212 Katella Ave Ste 202
Los Alamitos, CA 90720-6831
Phone
(562) 881-7801
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 44329 CA Primary

Addresses

Primary practice location

5212 Katella Ave Ste 202
Los Alamitos, CA 90720-6831

Mailing address

13025 Bailey St Ste D
Whittier, CA 90601-4204
Phone (562) 881-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326002108 CA Order and Referring Only - Mental Health Counselor 5799208187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44329CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1922558162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 BAILEY ST STE D",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014204",
            "telephone_number": "562-881-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 202",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206831",
            "telephone_number": "562-881-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGEN",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.