Hannah Elizabeth Dolezal, MSED, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC04326 Issued in MN

Practice address

5354 Parkdale Dr FL 2
Saint Louis Park, MN 55416-1603

Phone

(651) 645-5323

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Emily Program P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Paul, MN
  • NPI 1528165065
  Medicare reassignment NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1447976451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "651-645-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "651-645-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 Bryant Ave S Apt 221",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554084128",
            "country_code": "US",
            "telephone_number": "651-645-5323 x1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEZAL",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "MSED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC04326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Jo Dodds, CCC-A
• Jeffery Allen Dodds, CCC-A
• Laura J Tripet Dodge
• Nicole Dolash
• Michael A Dole, M.D.
• Natalie Doll, D.O.
• Chandler Elise Domian Ommen, OT
• Darian Dominski
• Renee M Donahue Carlson, M.D.
• Steven C Dondlinger, MD

• Professional Counselor in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.