Individual provider Active NPI

Dorlene Ellen Dowl, M ED, LPC, NCC

  • Mental Health Counselor
  • Savannah, GA
National Provider Identifier
1386966018
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009625 Issued in GA
Practice address
785 King George Blvd
Ste a
Savannah, GA 31419
Phone
(314) 717-5273
Fax
(912) 303-8703
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC009625 GA Primary
Mental Health Counselor 101YM0800X 2009032852 MO

Addresses

Primary practice location

785 King George Blvd
Ste a
Savannah, GA 31419

Mailing address

785 King George Blvd
Ste a
Savannah, GA 31419
Phone (314) 717-5273

Other practice location 1

11650 New Halls Ferry Rd
Florissant, MO 63033-6924
Phone (314) 717-5273

Other identifiers 2

IdentifierTypeStateIssuer
1386966018MedicaidMO
LPC009625OtherGAGEORGIA LICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Dorlene Elllen Walehwa Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC009625GAMDMental Health Counselor
2009032852MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386966018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 KING GEORGE BLVD",
            "address_2": "STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "314-717-5273",
            "fax_number": "912-303-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 KING GEORGE BLVD",
            "address_2": "STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "314-717-5273",
            "fax_number": "912-303-8703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 New Halls Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336924",
            "country_code": "US",
            "telephone_number": "314-717-5273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWL",
        "first_name": "DORLENE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M ED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009625",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2009032852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386966018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC009625",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORLENE",
            "last_name": "WALEHWA",
            "middle_name": "ELLLEN",
            "credential": "M ED, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.