Active NPI
Alexis Dunlap, IMFT
- Marriage & Family Therapist
- Van Wert, OH
National Provider Identifier
1194214817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F.2000148
- Practice address
- 533 S Harrison St
Van Wert, OH 45891-2022 - Phone
- (419) 605-8229
- NPI assigned
- May 8, 2018
- Last updated
- Oct 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M.1700050 | OH | |
| Marriage & Family Therapist | 106H00000X | F.2000148 | OH | Primary |
Addresses
Primary practice location
533 S Harrison St
Van Wert, OH 45891-2022
Mailing address
533 S Harrison St
Van Wert, OH 45891-2022
Phone (419) 605-8229
Other practice location 1
4938 State Route 111
Antwerp, OH 45813-9724
Phone (419) 285-6461
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 |
|---|---|---|---|
| F.2000148 | OH | MD | Marriage & Family Therapist |
| M.1700050 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Woman Counseling and Wellness | Current | Accepting new patients | |
| Restored Roots Counseling & Wellness | Marriage & Family Therapist | Current | Accepting new patients |
| Village Network | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Wert, OH
- NPI 1891402160
-
- Clinical Social Worker
- Antwerp, OH
- NPI 1922695758
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1194214817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 S HARRISON ST",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912022",
"telephone_number": "419-605-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 S HARRISON ST",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912022",
"telephone_number": "419-605-8229"
}
],
"practiceLocations": [
{
"address_1": "4938 State Route 111",
"address_purpose": "LOCATION",
"city": "Antwerp",
"state": "OH",
"postal_code": "458139724",
"country_code": "US",
"telephone_number": "419-285-6461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNLAP",
"first_name": "ALEXIS",
"credential": "IMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "M.1700050",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.2000148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.