Active NPI
Herlonda Dotson, LPC, CCM
- Professional Counselor
- Desoto, TX
National Provider Identifier
1124534888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68424
- Practice address
- 620 Candelila Drive
Desoto, TX 75115 - Phone
- (972) 322-1604
- NPI assigned
- Dec 18, 2017
- 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 | 68424 | TX | Primary |
Addresses
Primary practice location
620 Candelila Drive
Desoto, TX 75115
Mailing address
620 Candelila Drive
Desoto, TX 75115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68424 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68424 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1124534888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CANDELILA DRIVE",
"city": "DESOTO",
"state": "TX",
"postal_code": "75115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CANDELILA DRIVE",
"city": "DESOTO",
"state": "TX",
"postal_code": "75115",
"telephone_number": "972-322-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "HERLONDA",
"name_prefix": "Ms.",
"credential": "LPC, CCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "68424",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.