Active NPI
Dexter Dodd, MS, MDIV, BA,
- Professional Counselor
- Towson, MD
National Provider Identifier
1255137667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC17382
- Practice address
- 849 Fairmount Ave Ste 200
Towson, MD 21286-2693 - Phone
- (667) 275-3095
- NPI assigned
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA3520 | MD | |
| Counselor | 101Y00000X | MD | ||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | LC17382 | MD | Primary |
Addresses
Primary practice location
849 Fairmount Ave Ste 200
Towson, MD 21286-2693
Mailing address
825 Cator Ave
Baltimore, MD 21218-1227
Phone (443) 885-0491
Other practice location 1
6340 Security Blvd
Baltimore, MD 21207-5173
Phone (443) 885-0491
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
- Bachelor of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCA3520 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC17382 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom Enterprise Yielding Space (Keys) | Counselor | Current | Accepting new patients |
| Dad Kingdom Enterprise | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
849 Fairmount Ave
Ste 200
Towson, MD 21286
Phone (443) 486-0152
6340 Security Blvd
Woodlawn, MD 21207
Phone (240) 460-3735
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1104782390
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Towson, MD
- NPI 1790633881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1255137667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CATOR AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181227",
"telephone_number": "443-885-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 FAIRMOUNT AVE STE 200",
"city": "TOWSON",
"state": "MD",
"postal_code": "212862693",
"telephone_number": "667-275-3095"
}
],
"practiceLocations": [
{
"address_1": "6340 Security Blvd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212075173",
"country_code": "US",
"telephone_number": "443-885-0491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODD",
"first_name": "DEXTER",
"name_prefix": "Dr.",
"credential": "MS, MDIV, BA,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA3520",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC17382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.