Donald Edward Dolan, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8031 Issued in MD

Practice address

711 W 40TH St Ste 425
Baltimore, MD 21211-2135

Phone

(410) 657-5884

NPI assigned

Sep 21, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Self-Realized Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1487573796
  NPD (past) Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1013426071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50186",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212114186",
            "telephone_number": "410-657-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 425",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112135",
            "telephone_number": "410-657-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "DONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Doherty, MS, AGPCNP-BC
• Meg Caroline Doherty, M.D., PH.D, MPH
• Megan Doherty
• Hayden Mengden Dohnalek
• Tracie Doi, LMSW
• Kirsten Dolan
• Teresa Hertl Dolan, OTR/L
• Samantha Dolch, DPT
• Yves-Richard Dole, M.D.
• Robert Ross Dolitsky, M.D.

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.