Active NPI
Dodi Ann Butler, LPC
- Professional Counselor
- Jefferson Township, PA
National Provider Identifier
1114186863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004859
- Practice address
- 1434 Mt Cobb Rd
Jefferson Township, PA 18436-4504 - Phone
- (570) 878-5201
- NPI assigned
- Jun 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PC004859 | PA | Primary |
Addresses
Primary practice location
1434 Mt Cobb Rd
Jefferson Township, PA 18436-4504
Mailing address
38 Doris Rd
Scott Township, PA 18447-7752
Phone (570) 878-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260514003533 | PA | Practitioner - Mental Health Counselor | 5092284497 | Practice locations: Carbondale, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1015 Circle Green Dr
South Abington Township, PA 18411-8002
41 N Main St
Suite 303
Carbondale, PA 18407-2357
Phone (570) 878-5201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004859 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1114186863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 DORIS RD",
"city": "SCOTT TOWNSHIP",
"state": "PA",
"postal_code": "184477752",
"telephone_number": "570-878-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 MT COBB RD",
"city": "JEFFERSON TOWNSHIP",
"state": "PA",
"postal_code": "184364504",
"telephone_number": "570-878-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DODI",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-07",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.