MRS. MARY BERGENS DODSON (NPI# 1114492956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492956 |
| Entity Type | Individual |
| Full Name | MRS. MARY BERGENS DODSON |
| Other Name | MISS MARY ELIZABETH BERGENS |
| Credential | LMFT |
| Practice Address |
2620 Executive Pl Biloxi MS 39531-3717 |
| Mailing Address |
16109 S April Dr Gulfport MS 39503-4181 |
| Practice Telephone | 2283857744 |
| Practice Fax Number | 2283855165 |
| Mailing Telephone | 9857744076 |
| Mailing Fax Number | 2283855165 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
T0510 | MS | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | T0510 | MS | Behavioral Health & Social Service Providers |
| N | 251B00000X | Case Management | T0510 | MS | Agencies |
| N | 171M00000X | Case Manager/Care Coordinator | T0510 | MS | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16109 S April Dr, Gulfport, MS 395034181 | 9857744076 | 2283855165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861634263 | Mary Melissa Dodson | Speech-Language Pathologist | 164 Courtney Rd, Fancy Farm, KY 42039-9505 | 2009-03-31 |
| 1932563020 | Mary Dodson | Counselor | 4038 Gap Rd, Knoxville, TN 37912-5903 | 2016-04-05 |
| 1336538099 | Mary Catherine Dodson I | Psychologist | 4500 S Lancaster Rd, Attn. 116b, North Texas Healthcare System, Dallas, TX 75216-7167 | 2015-01-20 |
| 1316136625 | Mary Dodson | Nurse Practitioner | 2 Nottingham Dr, West Grove, PA 19390-9738 | 2007-10-23 |
| 1417910068 | Mary R Dodson | Emergency Medicine | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2006-04-06 |
| Street Address |
2620 EXECUTIVE PL |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443121 | Dewey Dewayne Watkins | Counselor | 2620 Executive Pl, Biloxi, MS 39531 | 2006-09-02 |
| 1275047383 | Page Leigh Pearson | Counselor | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2017-11-28 |
| 1003195967 | Psycamore, LLC | Clinic/Center | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750537973 | Minnie Mcbeth O'banner | Marriage & Family Therapist | 2318 Pass Rd Ste 7b, Biloxi, MS 39531-4044 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593470 | Britney Mangum Huber | Marriage & Family Therapist | 607 Corinne St Ste A2, Hattiesburg, MS 39401-3827 | 2020-09-18 |
| 1013526284 | Therapy Today, LLC | Marriage & Family Therapist | 1045 Church Rd E Ste 2b, Southaven, MS 38671-9702 | 2020-07-23 |
| 1942823422 | Terry Matthews | Marriage & Family Therapist | 1045 Church Rd E, Southaven, MS 38671-9702 | 2020-05-19 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1306488705 | Vinalrae Brame | Marriage & Family Therapist | 607 Corinne St Ste A2office, Hattiesburg, MS 39401-3831 | 2019-10-17 |
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1275009565 | Bahar Dunn | Marriage & Family Therapist | 292 Commerce Park Dr Ste C, Ridgeland, MS 39157-2239 | 2018-10-15 |
| 1871086611 | Adrienne L. Hearn | Marriage & Family Therapist | 580 S Pear Orchard Rd Apt 623, Ridgeland, MS 39157-4212 | 2018-06-06 |
| 1740792209 | Paula Hollingsworth | Marriage & Family Therapist | 5 Orleans Dr Ste 2, Hattiesburg, MS 39402-8675 | 2017-10-24 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MARY BERGENS DODSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.