James Douglas Dorman, M.ED., LCADC, CEAP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37LC00073500 Issued in NJ

Practice address

110 Marter Ave. Ste 406
Moorestown, NJ 08057

Phone

(856) 427-7775

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Beacon Behavioral Health II

  • Counselor
  • Moorestown, NJ
  • NPI 1073735460
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396967923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NURSERY CT",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028",
            "telephone_number": "856-256-8935",
            "fax_number": "856-256-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE. STE 406",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-427-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "credential": "M.ED., LCADC, CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37LC00073500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH",
            "identifier": "103843",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Dolan
• Kathleen Dolan, APN
• Emily Donnelly I
• Jennifer L Donovan
• Bobbi Ann Dorio, D.C., C.C.S.P.
• Valerie Dorn, LPC
• Emily Rose Dubelbeiss
• Maria D Duca, M.D.
• Patricia Jeanne Duffy, LCSW
• Katherine Dugan, PA-C

• Counselor in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.