Dorian Pello

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017791 Issued in MI

Practice address

600 Macinnes Dr
Houghton, MI 49931-1144

Phone

(906) 483-1860

Fax

(906) 372-3230

NPI assigned

Jun 6, 2017

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Unite Up

  dba unite Mental Health and Wellness

  • Clinical Social Worker
  • Houghton, MI
  • NPI 1215510516

  Professional

  Medicare reassignment NPD
• Upper Great Lakes Family Health Center

  dba Upper Great Lakes Family Health Mobile Unit 1

  • Federally Qualified Health Center (FQHC)
  • Laurium, MI
  • NPI 1114788619
  NPD
• Upper Great Lakes Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hancock, MI
  • NPI 1255755757
  NPD
• Upper Great Lakes Family Health Center

  dba Sawyer Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Gwinn, MI
  • NPI 1700103777
  NPD
• Transformational Services LLC

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1780090258

  Professional

  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1225567134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "906-483-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MACINNES DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311144",
            "telephone_number": "906-483-1860",
            "fax_number": "906-372-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLO",
        "first_name": "DORIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Oswald, MD
• Tiffany Paavola, OT
• Jonathan Packham, OTR/L
• Carli Pares
• Paul a Leep MD PC
• Amy Lynn Perfetti, LLBSW QIDP QMHP
• O'Donis J Person
• PH Copper Country Apothecaries LLC (Apothecary Houghton)
• Selin Philip, PH.D.
• Phillip Pietila, DC

• Professional Counselor in Houghton, MI
• Providers in Houghton, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.