Active NPI
Penny Jane Dollard, LCSW
- Mental Health Counselor
- New York, NY
National Provider Identifier
1487929170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RO27912-1
- Practice address
- 295 Central Park W
Suite 1a
New York, NY 10024-3008 - Phone
- (917) 561-4577
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RO27912-1 | NY | Primary |
Addresses
Primary practice location
295 Central Park W
Suite 1a
New York, NY 10024-3008
Mailing address
207 W 106TH St
Apt. 8B
New York, NY 10025-3620
Phone (917) 561-4577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO27912-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1487929170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W 106TH ST",
"address_2": "APT. 8B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253620",
"telephone_number": "917-561-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 CENTRAL PARK W",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243008",
"telephone_number": "917-561-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLARD",
"first_name": "PENNY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "RO27912-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.