Active NPI
Olen Jade Dodd, CRC
- Rehabilitation Counselor
- Crab Orchard, WV
National Provider Identifier
1306054671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 206 Rustic Hills Dr
Crab Orchard, WV 25827-9658 - Phone
- (304) 253-4537
- Fax
- (304) 253-4537
- NPI assigned
- May 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | WV | Primary |
Addresses
Primary practice location
206 Rustic Hills Dr
Crab Orchard, WV 25827-9658
Mailing address
PO Box 301
Beckley, WV 25802-0301
Phone (304) 253-4537
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1306054671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258020301",
"telephone_number": "304-253-4537",
"fax_number": "304-253-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 RUSTIC HILLS DR",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "258279658",
"telephone_number": "304-253-4537",
"fax_number": "304-253-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "OLEN",
"middle_name": "JADE",
"name_prefix": "Mr.",
"credential": "CRC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crab Orchard, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.