Active NPI
Carol Rose Doss, PH.D.,L.P.C.
- Professional Counselor
- Pantego, TX
National Provider Identifier
1013099571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8962
- Practice address
- 3617 W Pioneer Pkwy
Pantego, TX 76013-4504 - Phone
- (817) 275-3617
- Fax
- (817) 275-3620
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8962 | TX | Primary |
Addresses
Primary practice location
3617 W Pioneer Pkwy
Pantego, TX 76013-4504
Mailing address
3617 W Pioneer Pkwy
Pantego, TX 76013-4504
Phone (817) 275-3617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263758-01 | Medicaid | TX | |
| 0263758-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8962 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1013099571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134504",
"telephone_number": "817-275-3617",
"fax_number": "817-275-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134504",
"telephone_number": "817-275-3617",
"fax_number": "817-275-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "CAROL",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PH.D.,L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "8962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263758-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263758-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.