Active NPI
Andrew Richard Dodson, MED., LPC
- Counselor
- Canton, OH
National Provider Identifier
1235786187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.1901981
- Practice address
- 919 2ND St NE
Canton, OH 44704-1132 - Phone
- (330) 454-7917
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1901981 | OH | Primary |
Addresses
Primary practice location
919 2ND St NE
Canton, OH 44704-1132
Mailing address
3020 Vincent Rd
Silver Lake, OH 44224-2947
Phone (330) 962-0129
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901981 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients |
Interoperability endpoints
- adodson106760@direct.chmca.org
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.
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1235786187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 VINCENT RD",
"city": "SILVER LAKE",
"state": "OH",
"postal_code": "442242947",
"telephone_number": "330-962-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 2ND ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447041132",
"telephone_number": "330-454-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "ANDREW",
"middle_name": "RICHARD",
"credential": "MED., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1901981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.