Active NPI
Aliah Dolan, M.S., MFT INTERN
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1386996247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91053
- Practice address
- 4250 SW Hume St
Portland, OR 97219-3553 - Phone
- (415) 867-1001
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91053 | CA | Primary |
Addresses
Primary practice location
4250 SW Hume St
Portland, OR 97219-3553
Mailing address
4250 SW Hume St
Portland, OR 97219-3553
Phone (415) 867-1001
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91053 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1386996247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 SW HUME ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193553",
"telephone_number": "415-867-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 SW HUME ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193553",
"telephone_number": "415-867-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "ALIAH",
"credential": "M.S., MFT INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "91053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.