Individual provider Active NPI

Dexter Dodd, MS, MDIV, BA,

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1255137667
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17382 Issued in MD
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

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCA3520MDMDAddiction (Substance Use Disorder) Counselor
LC17382MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Enterprise Yielding Space (Keys) Counselor Current Accepting new patients
Dad Kingdom Enterprise Addiction (Substance Use Disorder) CurrentSince Jan 4, 2026 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.

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.

Verify at the official NPI Registry.