Organization Active NPI

John W. Doran, LCSW PA

  • Professional Counselor
  • Wilton Manors, FL
National Provider Identifier
1184043549
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SW7576 Issued in FL
Legal business name
JOHN W. DORAN, LCSW PA
Practice address
1881 NE 26TH St
Suite 212-G
Wilton Manors, FL 33305-1416
Phone
(954) 253-4060
Fax
(954) 568-2336
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mr. John William Doran, LCSW PANPI 1164446357
Title
Owner
Phone
(954) 253-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X SW7576 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Suite 212-G
Wilton Manors, FL 33305-1416

Mailing address

1881 NE 26TH St
Suite 212-G
Wilton Manors, FL 33305-1416
Phone (954) 253-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606000848 FL Part B Supplier - Clinic/Group Practice 2264656586 Receives reassigned benefits from 1 practitioner
Practice locations: Wilton Manors, FL

National Provider Directory

National Provider Directory

Locations

1881 NE 26th St
Ste 212G
Wilton Manors, FL 33305
Phone (954) 253-4060

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1184043549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 212-G",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-253-4060",
            "fax_number": "954-568-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 212-G",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-253-4060",
            "fax_number": "954-568-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. DORAN, LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-253-4060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW PA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.