Organization Active NPI

Erica D. Dolan, PHD, PLLC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1144512302
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62570 Issued in TX
Legal business name
ERICA D. DOLAN, PHD, PLLC
Practice address
4444 Corona Dr Ste 127
Corpus Christi, TX 78411-4323
Phone
(361) 857-5870
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Erica D Dolan, LPC, NCC
Title
Sole Member
Phone
(361) 857-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 62570 TX Primary

Addresses

Primary practice location

4444 Corona Dr Ste 127
Corpus Christi, TX 78411-4323

Mailing address

4444 Corona Dr Ste 127
Corpus Christi, TX 78411-4323
Phone (361) 857-5870

Other identifiers 1

IdentifierTypeStateIssuer
194132001MedicaidTX

Other names 1

  • Behavioral Health Associates of Texas Doing business as

National Provider Directory

National Provider Directory

Locations

4444 Corona Dr
Ste 127
Corpus Christi, TX 78411
Phone (361) 688-0424

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1144512302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 127",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-857-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 127",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114323",
            "telephone_number": "361-857-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA D. DOLAN, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "361-857-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194132001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Associates of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.