Gregory Kent Dorris
Marriage & Family Therapist in Pasadena, CA. Individual provider (NPI-1).
NPI number1003783705
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1003783705
- Entity type
- Individual (NPI-1)
- Name
- Gregory Kent Dorris
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2025
- Certification date
- Oct 19, 2025
- Last updated
- Oct 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 155197 | CA | Yes |
| 101YP2500X | Counselor, Professional | 19505 | CA |
Practice location
210 S Orange Grove BlvdPasadena, CA 91105-1705
Phone 626-678-0927
Mailing address
4620a Hollywood BlvdLos Angeles, CA 90027-5408
Phone 626-678-0927
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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