Clarence E Dodd

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

233 Parkers Mill Way
Somerset, KY 42503-4152

Phone

(606) 485-4450

NPI assigned

Jul 31, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Protea Behavioral Health Counseling, PLLC

  • Professional Counselor
  • Somerset, KY
  • NPI 1205429800
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1578244679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PARKERS MILL WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PARKERS MILL WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034152",
            "telephone_number": "606-485-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "CLARENCE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dixon, APRN
• Jennifer Darlene Dixon, RN, CDCES
• Jonathan Barry Dixon, M.D.
• Valerie Shaelyn Eversole Dixon, DO
• Michelle Dockery, PTA
• Kristi Dodds
• Don L Richardson, OD PSC
• Don Richardson,PSC (Richardson Optical)
• Donna S. Nall, MD, PSC
• Jennifer Donnelly

• Peer Specialist in Somerset, KY
• Providers in Somerset, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.