Mark Christopher Dodd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00293 Issued in IA

Practice address

103 E State St
Ste 301
Mason City, IA 50401-3300

Phone

(641) 201-1521

Fax

(641) 201-1521

NPI assigned

May 7, 2013

Last updated

May 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Change Solutions, Inc.

  • Community/Behavioral Health Agency
  • Mason City, IA
  • NPI 1306185632
  NPD (past) Authorized official

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1245675065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504020912",
            "telephone_number": "641-201-1521",
            "fax_number": "641-201-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE ST",
            "address_2": "STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013300",
            "telephone_number": "641-201-1521",
            "fax_number": "641-201-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "97003",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Dettmer, M.D.
• Lizabeth A Devereux
• Henry Richard Diggelmann, M.D.
• Madison Danielle Dininny, MAT, LAT, ATC
• Michael P Dobbin, PSYD
• Jasmine Brooke Doell
• Rachael E Dolezal, M.A.
• Rachael Irene Dolf
• Scott Donohoe, DPM
• Dornbier Chiropractic Inc

• Mental Health Counselor in Mason City, IA
• Providers in Mason City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.