Active NPI
Sarah Louise Dolezal, PLMHP
- Counselor
- Grand Island, NE
National Provider Identifier
1184032161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10264
- Practice address
- 2313 N Webb Rd
Grand Island, NE 68803-1743 - Phone
- (308) 381-8851
- Fax
- (308) 381-8853
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10264 | NE | Primary |
Addresses
Primary practice location
2313 N Webb Rd
Grand Island, NE 68803-1743
Mailing address
2313 N Webb Rd
Grand Island, NE 68803-1743
Phone (308) 381-8851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026172100 | Medicaid | NE | |
| 10026304600 | Medicaid | NE |
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 |
|---|---|---|---|
| 10264 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1184032161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 N WEBB RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688031743",
"telephone_number": "308-381-8851",
"fax_number": "308-381-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 N WEBB RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688031743",
"telephone_number": "308-381-8851",
"fax_number": "308-381-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLEZAL",
"first_name": "SARAH",
"middle_name": "LOUISE",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "10264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026172100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026304600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.