Charles William Dodge, PLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401005935 Issued in MI

Practice address

123 S Washington St
Owosso, MI 48867-2921

Phone

(989) 723-0330

Fax

(989) 723-0327

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Trinity Professional Services

  • Social Worker
  • Owosso, MI
  • NPI 1427269299
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295940690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672921",
            "telephone_number": "989-723-0330",
            "fax_number": "989-723-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S WASHINGTON ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672921",
            "telephone_number": "989-723-0330",
            "fax_number": "989-723-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "PLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401005935",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Dilts
• Shawn Marie Dilts, LMSW
• Ngoc-Cam Dinh
• Katie Dobski
• Kendra Docker, LPC
• Matthew Dohring
• Melissa Dohring, OTR/L
• David C Dotson, MD
• Clinton Douglas III, CPHT
• Nikita Nikole Dove

• Addiction (Substance Use Disorder) Counselor in Owosso, MI
• Providers in Owosso, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.