Active NPI
Dana Y. Carey, MSW, PPS
- Mental Health Counselor
- Lodi, CA
National Provider Identifier
1508969841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12755 N Highway 88
Lodi, CA 95240-9323 - Phone
- (209) 340-5800
- Fax
- (209) 340-5804
- NPI assigned
- Sep 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
12755 N Highway 88
Lodi, CA 95240-9323
Mailing address
P.O. Box 330
12755 North Highway 88
Victor, CA 95253
Phone (209) 340-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 398113 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61359 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Treatment Centers, Inc. | Past | Accepting new patients |
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Lodi, CA
- NPI 1861551715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1508969841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 330",
"address_2": "12755 NORTH HIGHWAY 88",
"city": "VICTOR",
"state": "CA",
"postal_code": "95253",
"telephone_number": "209-340-5800",
"fax_number": "209-340-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12755 N HIGHWAY 88",
"city": "LODI",
"state": "CA",
"postal_code": "952409323",
"telephone_number": "209-340-5800",
"fax_number": "209-340-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "DANA",
"middle_name": "Y.",
"name_prefix": "Mrs.",
"credential": "MSW, PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "398113",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.