Active NPI
Randall Dockery, LPCC
- Professional Counselor
- Circleville, OH
National Provider Identifier
1497054431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0501111
- Practice address
- 145 Morris Rd
Circleville, OH 43113-1363 - Phone
- (740) 772-7892
- Fax
- (740) 773-1264
- NPI assigned
- Mar 16, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0501111 | OH | Primary |
Addresses
Primary practice location
145 Morris Rd
Circleville, OH 43113-1363
Mailing address
4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7892
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 |
|---|---|---|---|
| E0501111 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1497054431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-772-7892",
"fax_number": "740-773-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MORRIS RD",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131363",
"telephone_number": "740-772-7892",
"fax_number": "740-773-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKERY",
"first_name": "RANDALL",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0501111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Circleville, OH
- Dick Family Chiropractic LLC
- Christina Anne Dick, D.C.
- Joshua Thomas Dick, D.C.
- Diffenderfer Enterprises Inc
- Fred E Diffenderfer, D.C.
- Jordan Richard Dodge, CNP
- Robert Dolby
- Lisette Dominguez, DO
- Donald H. Webster D.B.a. Easy Access Mobility
- Donna J Miller DMD Daniel F Green DDS & Jeremy D Crabtree DDS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.