Individual provider Active NPI

Caroline Elizabeth Dohm, MA, LPC

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1255646964
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5591 Issued in CO
Practice address
551 Grand Ave Ste 303
Grand Junction, CO 81501-2694
Phone
(970) 241-1913
Fax
(970) 773-7691
NPI assigned
Aug 18, 2010
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5591 CO Primary

Addresses

Primary practice location

551 Grand Ave Ste 303
Grand Junction, CO 81501-2694

Mailing address

551 Grand Ave Ste 303
Grand Junction, CO 81501-2694
Phone (970) 241-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127000167 CO Practitioner - Mental Health Counselor 8426406836 Practice locations: Grand Junction, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

551 Grand Ave
Suite 303
Grand Junction, CO 81501-2694
Phone (970) 241-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1255646964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 GRAND AVE STE 303",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012694",
            "telephone_number": "970-241-1913",
            "fax_number": "970-773-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GRAND AVE STE 303",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012694",
            "telephone_number": "970-241-1913",
            "fax_number": "970-773-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHM",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.