Individual provider Active NPI

Sally Johanna Dorpfeld, LMHC,LPC,MCAP,ICADC

  • Mental Health Counselor
  • Lantana, FL
National Provider Identifier
1578002168
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16944 Issued in FL
Practice address
600 S East Coast Ave
Lantana, FL 33462-4577
Phone
(561) 578-5700
Fax
(561) 337-3400
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 15365 FL
Professional Counselor 101YP2500X MH16944 FL
Mental Health Counselor 101YM0800X MH16944 FL Primary

Addresses

Primary practice location

600 S East Coast Ave
Lantana, FL 33462-4577

Mailing address

7604 Sierra Ridge LN
Lake Worth, FL 33463-7917
Phone (561) 758-4464

Other practice location 1

537 US Highway 1 Ste 2
North Palm Beach, FL 33408-4903
Phone (561) 758-4464

Other identifiers 1

IdentifierTypeStateIssuer
MH16944OtherFLTHE FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE&FAM. THERAPY MH COUNSELING

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

LicenseStateTypeSpecialty
IMH 15365FLMDMental Health Counselor
MH16944FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1578002168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 SIERRA RIDGE LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637917",
            "telephone_number": "561-758-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S EAST COAST AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624577",
            "telephone_number": "561-578-5700",
            "fax_number": "561-337-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 US Highway 1 Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334084903",
            "country_code": "US",
            "telephone_number": "561-758-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORPFELD",
        "first_name": "SALLY",
        "middle_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "LMHC,LPC,MCAP,ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 15365",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH16944",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE&FAM. THERAPY MH COUNSELING",
            "identifier": "MH16944",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.