Individual provider Active NPI

Alisa K Dodds, MA, LPC

  • Counselor
  • Liberty, MO
National Provider Identifier
1154478931
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2001022069 Issued in MO
Practice address
5 Westowne St
Ste 501
Liberty, MO 64068-3512
Phone
(816) 781-2110
Fax
(816) 781-2312
NPI assigned
Jan 4, 2007
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2001022069 MO Primary
Mental Health Counselor 101YM0800X 2001022069 MO
Professional Counselor 101YP2500X 2001022069 MO

Addresses

Primary practice location

5 Westowne St
Ste 501
Liberty, MO 64068-3512

Mailing address

5 Westowne St.
Ste 501
Liberty, MO 64068-3512
Phone (816) 781-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 8, 2024 through Sep 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2001022069MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Psychology, Inc. PastSince Oct 24, 2011 Accepting new patients
Theresa R Hubbard LLC PastSince Oct 12, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1154478931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WESTOWNE ST.",
            "address_2": "STE 501",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683512",
            "telephone_number": "816-781-2110",
            "fax_number": "816-781-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WESTOWNE ST",
            "address_2": "STE 501",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683512",
            "telephone_number": "816-781-2110",
            "fax_number": "816-781-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDS",
        "first_name": "ALISA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2001022069",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2001022069",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001022069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.