Individual provider Active NPI

William Raymond Dorn, L.P.C.

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1477600674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000184 Issued in PA
Practice address
4721 McKnight Rd
Suite 218 S
Pittsburgh, PA 15237-3415
Phone
(412) 369-4285
Fax
(412) 939-0246
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC000184 PA Primary

Addresses

Primary practice location

4721 McKnight Rd
Suite 218 S
Pittsburgh, PA 15237-3415

Mailing address

4721 McKnight Rd
Suite 218 S
Pittsburgh, PA 15237-3415
Phone (412) 369-4285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240212000198 PA Practitioner - Mental Health Counselor 1254774839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
June V Isaly & Associates Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

4721 McKnight Rd
Ste 218
Pittsburgh, PA 15237
Phone (412) 369-4285

603 McKnight Park Dr
Pittsburgh, PA 15237
Phone (412) 369-4285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477600674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 218 S",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-369-4285",
            "fax_number": "412-939-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 MCKNIGHT RD",
            "address_2": "SUITE 218 S",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373415",
            "telephone_number": "412-369-4285",
            "fax_number": "412-939-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "WILLIAM",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.