NPIMap

Organization Active NPI

Dodge Counseling LLC

  • Mental Health Counselor
  • Fairbanks, AK
National Provider Identifier
1447567953
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
562 Issued in AK
Legal business name
DODGE COUNSELING LLC
Practice address
1417 Macfarland St
Fairbanks, AK 99709-3172
Phone
(907) 479-0245
NPI assigned
Sep 3, 2010
Last updated
Sep 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Margaret Dodge, LCPC LPCNPI 1194862128
Title
Manager
Phone
(907) 479-0245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 562 AK Primary

Addresses

Primary practice location

1417 Macfarland St
Fairbanks, AK 99709-3172

Mailing address

1417 Macfarland St
Fairbanks, AK 99709-3172
Phone (907) 479-0245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1447567953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MACFARLAND ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093172",
            "telephone_number": "907-479-0245",
            "fax_number": "907-479-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MACFARLAND ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093172",
            "telephone_number": "907-479-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-479-0245",
        "authorized_official_credential": "LCPC LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.