Active NPI
Erica D. Dolan, PHD, PLLC
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1144512302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62570
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194132001 | Medicaid | TX |
Other names 1
- Behavioral Health Associates of Texas
National Provider Directory
National Provider DirectoryLocations
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.