Individual provider Active NPI

Alisa Dawn Doty

  • Mental Health Counselor
  • Columbus, IN
National Provider Identifier
1154903409
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000581A Issued in IN
Practice address
2525 California St Ste C
Columbus, IN 47201-3671
Phone
(317) 537-7750
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000581A IN Primary

Addresses

Primary practice location

2525 California St Ste C
Columbus, IN 47201-3671

Mailing address

2525 California St Ste C
Columbus, IN 47201-3671
Phone (317) 537-7750

Other practice location 1

2525 California St Ste C
Columbus, IN 47201-3671
Phone (317) 537-7750

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://adotymhc.clientsecure.me Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
88000581AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1154903409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CALIFORNIA ST STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013671",
            "telephone_number": "317-537-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CALIFORNIA ST STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013671",
            "telephone_number": "317-537-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 California St Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472013671",
            "country_code": "US",
            "telephone_number": "317-537-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "ALISA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000581A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://adotymhc.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2525 California St Ste C",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472013671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.