Samuel Dolling Jr., M.M., L.A.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0000753 Issued in CO

Practice address

9025 Grant St Ste 200
Thornton, CO 80229-4362

Phone

(303) 412-3656

NPI assigned

Mar 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1518408236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 LIPAN ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 GRANT ST STE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294362",
            "telephone_number": "303-412-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLING",
        "first_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "M.M., L.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L. Dixon, O.T.R
• DM Campbell DO PC
• DM Campbell DO PC
• Colleen Dodson, R.D.H.
• Priya Dokken, DO
• Sarah Dolling, M.A.
• Kimberly Starr Doney-Hunter
• Christine Renee Donovan
• James B Doody, PA-C
• Alison Marie Dooling, DPT

• Addiction (Substance Use Disorder) Counselor in Thornton, CO
• Providers in Thornton, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.