Individual provider Active NPI

Jason Dodd, LCDCI

  • Addiction (Substance Use Disorder) Counselor
  • Corpus Christi, TX
National Provider Identifier
1326386368
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16965 Issued in TX
Practice address
400 Mann St
Suite 800
Corpus Christi, TX 78401-2046
Phone
(361) 814-2001
Fax
(361) 883-1998
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16965 TX Primary

Addresses

Primary practice location

400 Mann St
Suite 800
Corpus Christi, TX 78401-2046

Mailing address

400 Mann St
Suite 800
Corpus Christi, TX 78401-2046
Phone (361) 814-2001

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

LicenseStateTypeSpecialty
16965TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1326386368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MANN ST",
            "address_2": "SUITE 800",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046",
            "telephone_number": "361-814-2001",
            "fax_number": "361-883-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANN ST",
            "address_2": "SUITE 800",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012046",
            "telephone_number": "361-814-2001",
            "fax_number": "361-883-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "JASON",
        "credential": "LCDCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.