Active NPI
Cindy Lou Dobratz, LAC
- Addiction (Substance Use Disorder) Counselor
- Dodge City, KS
National Provider Identifier
1407112477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 888
- Practice address
- 210 Soule St
Suite 106
Dodge City, KS 67801-2558 - Phone
- (260) 227-2503
- Fax
- (260) 227-9905
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 888 | KS | Primary |
Addresses
Primary practice location
210 Soule St
Suite 106
Dodge City, KS 67801-2558
Mailing address
200 W Douglas Ave
Suite 560
Wichita, KS 67202-3013
Phone (316) 269-2322
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
| License | State | Type | Specialty |
|---|---|---|---|
| 888 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Mediation Center Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Counseling and Mediation Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1013021401
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Dodge City, KS
- NPI 1932585577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1407112477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"address_2": "SUITE 560",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-269-2322",
"fax_number": "316-269-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SOULE ST",
"address_2": "SUITE 106",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012558",
"telephone_number": "260-227-2503",
"fax_number": "260-227-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRATZ",
"first_name": "CINDY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.