Charlotte Sue Dolifka, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

68901 Issued in TX

Practice address

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700

Phone

(254) 247-9766

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardner Industries LLCGroup PAC ID 2163873340, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gardner Industries, LLC

  • Marriage & Family Therapist
  • Killeen, TX
  • NPI 1932981693

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1316488398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-650-1512",
            "fax_number": "254-690-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-247-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIFKA",
        "first_name": "CHARLOTTE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "68901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Disraeli, OTR
• Tabitha Dittus, RBT
• Divine Blessing Home Care LLC
• Jyothi Dodlapati, M.D.
• Chris Dolejs
• Mikaya Donald
• Dora Services LLC
• Soraya S Doswell, LMT
• Brianna Douglas
• Dr Iyabo a Elemuren-Ogunmuyiwa PA

• All providers in Harker Heights, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.