Active NPI
Celli Dawn Dugger, LAC
- Addiction (Substance Use Disorder) Counselor
- Indianapolis, IN
National Provider Identifier
1225668262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 86000406A
- Practice address
- 3351 N Meridian St Ste 110
Indianapolis, IN 46208-4674 - Phone
- (317) 730-2558
- Fax
- (317) 964-0452
- NPI assigned
- Jan 17, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000406A | IN | Primary |
Addresses
Primary practice location
3351 N Meridian St Ste 110
Indianapolis, IN 46208-4674
Mailing address
1539 Countryside LN
Indianapolis, IN 46231-3312
Phone (317) 730-2558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86000406A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdugger@doverecoveryhouse.org |
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 |
|---|---|---|---|
| 86000406A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Recovery House for Women | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Indianapolis, IN
- NPI 1356812317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1225668262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 COUNTRYSIDE LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462313312",
"telephone_number": "317-730-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 N MERIDIAN ST STE 110",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462084674",
"telephone_number": "317-730-2558",
"fax_number": "317-964-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGER",
"first_name": "CELLI",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000406A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "86000406A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdugger@doverecoveryhouse.org",
"affiliation": "N",
"address_1": "3351 N Meridian St Ste 110",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462084674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.