Active NPI
Jonathan Dorsey
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
National Provider Identifier
1598154676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCS9548
- Practice address
- 5100 Queen St
Riverside, CA 92506-1627 - Phone
- (951) 235-6342
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCS9548 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCS9548 | CA | Primary |
| Mental Health Counselor | 101YM0800X | LCS9548 | CA | |
| Pastoral Counselor | 101YP1600X | LCS9548 | CA | |
| Professional Counselor | 101YP2500X | LCS9548 | CA | |
| Psychoanalyst | 102L00000X | LCS9548 | CA | |
| Psychologist | 103T00000X | LCS9548 | CA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | LCS9548 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | LCS9548 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | LCS9548 | CA | |
| Counseling Psychologist | 103TC1900X | LCS9548 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | LCS9548 | CA | |
| Exercise & Sports Psychologist | 103TE1100X | LCS9548 | CA | |
| Family Psychologist | 103TF0000X | LCS9548 | CA | |
| Marriage & Family Therapist | 106H00000X | LCS9548 | CA |
Addresses
Primary practice location
5100 Queen St
Riverside, CA 92506-1627
Mailing address
5100 Queen St
Riverside, CA 92506-1627
Phone (951) 235-6342
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS9548 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1598154676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 QUEEN ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061627",
"telephone_number": "951-235-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 QUEEN ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061627",
"telephone_number": "951-235-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCS9548",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "LCS9548",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LCS9548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.