Individual provider Active NPI

Celli Dawn Dugger, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
National Provider Identifier
1225668262
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
86000406A Issued in IN
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

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
86000406AOtherININDIANA PROFESSIONAL LICENSING AGENCY

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
86000406AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Recovery House for Women PastSince Jan 19, 2020 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.

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.

Verify at the official NPI Registry.