Individual provider Active NPI

Dawn Charee McKinney Botefuhr, M.ED., LPC-S, NCC

  • Professional Counselor
  • Greenville, TX
National Provider Identifier
1548227150
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13748 Issued in TX
Practice address
8500 Larry CT
Greenville, TX 75402-2823
Phone
(903) 454-7404
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 13748 TX Primary

Addresses

Primary practice location

8500 Larry CT
Greenville, TX 75402-2823

Mailing address

8500 Larry CT
Greenville, TX 75402-2823
Phone (903) 454-7404

Other identifiers 7

IdentifierTypeStateIssuer
095659104MedicaidTX
10042808OtherTXAMERIGROUP
458035OtherTXVALUE OPTIONS
7724855OtherTXAETNA
458035OtherTXNORTHSTAR
07246LCOtherTXBCBS
11604965OtherTXCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240611004610 TX Practitioner - Mental Health Counselor 9830631365 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
13748TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc Professional CurrentSince Oct 28, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince May 7, 2024 Accepting new patients
Lifeworks Counseling Center PLLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1548227150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 LARRY CT",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754022823",
            "telephone_number": "903-454-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 LARRY CT",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754022823",
            "telephone_number": "903-454-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY BOTEFUHR",
        "first_name": "DAWN",
        "middle_name": "CHAREE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095659104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10042808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "458035",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7724855",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHSTAR",
            "identifier": "458035",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07246LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11604965",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.