JANEL M DOUGLASS (MFT) – Marriage & Family Therapist, NPI 1699805846

JANEL M DOUGLASS (MFT) is a healthcare provider. based in La verne, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MFT. They hold a License No. 39150 (CA). The NPI Number for JANEL M DOUGLASS (MFT) is 1699805846

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JANEL M DOUGLASS (MFT)
NPI
1699805846
Phone
(909) 593-2581
Address
233 WEST BASELINE ROAD
Enumeration Date
6 March 2007
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6269604845
Graduation Year
1997 (29 years ago)
PAC ID
7517404841
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20240805003031
Address ID
CA917902703WE1502XPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for JANEL M DOUGLASS (MFT)

  • 233 WEST BASELINE ROAD

    BOX 400

    LA VERNE, CA 91750

    Phone: (909) 593-2581

    Fax: (909) 596-3567

    Type: Mailing

  • 7600 GRAVES AVE

    ROSEMEAD, CA 917703414

    Phone: (626) 280-6510

    Fax: (626) 288-1026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240805003031IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm JANEL M DOUGLASS (MFT)'s NPI?
Yes. JANEL M DOUGLASS (MFT) is listed with NPI 1699805846 in the public NPI dataset.
Does the file indicate JANEL M DOUGLASS (MFT) is practicing under active NPI?
Directory data currently reports JANEL M DOUGLASS (MFT) as active.
What taxonomy line describes JANEL M DOUGLASS (MFT)?
For research purposes, treat JANEL M DOUGLASS (MFT) as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JANEL M DOUGLASS (MFT) based?
JANEL M DOUGLASS (MFT) is tied to La Verne, California in the data we show; additional addresses may exist on the full record.
Is the information about JANEL M DOUGLASS (MFT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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