Active NPI
Jennifer Dodd, LPC
- Professional Counselor
- Cleveland, OH
National Provider Identifier
1285793794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.8442
- Practice address
- 2525 E 22ND St
Cleveland, OH 44115-3202 - Phone
- (216) 696-5800
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.8442 | OH | Primary |
Addresses
Primary practice location
2525 E 22ND St
Cleveland, OH 44115-3202
Mailing address
2525 E 22ND St
Cleveland, OH 44115-3202
Phone (216) 696-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000488649 | Other | OH | ANTHEM BLUE CROSS PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.8442 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285793794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 E 22ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153202",
"telephone_number": "216-696-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 E 22ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153202",
"telephone_number": "216-696-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.8442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS PIN",
"identifier": "000000488649",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.