Ita G. Dore

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

409 Old Boring LN
Woodstock, GA 30189-2495

Phone

(770) 928-7300

Fax

(770) 928-7558

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ita G. Dore Professional name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Cherokee Center for Change Counseling, Inc.Group PAC ID 5698149151, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cherokee Center for Change Counseling, Inc.

  • Professional Counselor
  • Woodstock, GA
  • NPI 1073892923
  Medicare reassignment Care Compare group NPD Authorized official
• Cherokee Center for Change, Inc

  • Professional Counselor
  • Woodstock, GA
  • NPI 1285961466
  NPD (past) Authorized official

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1427374255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 OLD BORING LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892495",
            "telephone_number": "770-928-7300",
            "fax_number": "770-928-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OLD BORING LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892495",
            "telephone_number": "770-928-7300",
            "fax_number": "770-928-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "ITA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITA",
            "last_name": "DORE",
            "middle_name": "G.",
            "prefix": "MRS.",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Donaco Medical Supply, LLC
• Abigail Austin Donaldson, D.C.
• Michael Raymond Donaldson, DC
• Alisha A Donohoe, FNP-BC
• John Kevin Dooley, DDS
• Cynthia Elaine Dorer, MSW, LCSW
• Sophia Doros
• Kunali Doshi, DO
• Rita Gceo Douglas, CEO
• Matthew Dustin Dowdy

• Professional Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.