Active NPI
Keshelle Dolly, MA
- Mental Health Counselor
- Roslindale, MA
National Provider Identifier
1477198984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12888-MH-CC
- Practice address
- 780 American Legion Hwy
Roslindale, MA 02131-3908 - Phone
- (857) 225-6175
- Fax
- (617) 469-8595
- NPI assigned
- Nov 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | |||
| Mental Health Counselor | 101YM0800X | 12888-MH-CC | MA | Primary |
Addresses
Primary practice location
780 American Legion Hwy
Roslindale, MA 02131-3908
Mailing address
85 Morton Village Dr Apt 311
Mattapan, MA 02126-2424
Phone (617) 939-3321
Other names 1
- Keshelle Dolly-Richardson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdolly@thehome.org |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12888-MH-CC | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1477198984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 MORTON VILLAGE DR APT 311",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262424",
"telephone_number": "617-939-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 AMERICAN LEGION HWY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021313908",
"telephone_number": "857-225-6175",
"fax_number": "617-469-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLY",
"first_name": "KESHELLE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12888-MH-CC",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdolly@thehome.org",
"affiliation": "N",
"address_1": "780 American Legion Hwy",
"city": "Roslindale",
"state": "MA",
"country_code": "US",
"postal_code": "021313908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KESHELLE",
"last_name": "DOLLY-RICHARDSON",
"credential": "MA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.