Active NPI
Joanne E Dobrzanski, LPC, LSW
- Mental Health Counselor
- Weirton, WV
National Provider Identifier
1598765299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 936
- Practice address
- 651 Colliers Way
Suite 412
Weirton, WV 26062 - Phone
- (304) 723-3423
- Fax
- (304) 723-3426
- NPI assigned
- Jul 26, 2005
- Last updated
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 936 | WV | Primary |
| Social Worker | 104100000X | CP00450679 | WV |
Addresses
Primary practice location
651 Colliers Way
Suite 412
Weirton, WV 26062
Mailing address
P.O. Box 348
Colliers, WV 26035
Phone (304) 723-3423
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235532000 | Other | WV | MAGELLAN |
| Y276161 | Other | WV | HEALTH PLAN |
| 0023528001 | Medicaid | WV | |
| 550583609050 | Other | WV | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 936 | WV | MD | Mental Health Counselor |
| CP00450679 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Connections | Mental Health | Past | Accepting new patients |
| Family Connections, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Colliers, WV
- NPI 1366846016
-
- Mental Health Counselor
- Weirton, WV
- NPI 1487002085
-
- Mental Health Counselor
- Weirton, WV
- NPI 1033216247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1598765299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 348",
"city": "COLLIERS",
"state": "WV",
"postal_code": "26035",
"telephone_number": "304-723-3423",
"fax_number": "304-723-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 COLLIERS WAY",
"address_2": "SUITE 412",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-3423",
"fax_number": "304-723-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRZANSKI",
"first_name": "JOANNE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "LPC, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "936",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00450679",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "235532000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "Y276161",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023528001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "550583609050",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.