Individual provider Active NPI

Mariah R Dole

  • Mental Health Counselor
  • Sheboygan, WI
National Provider Identifier
1609577949
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1016-228 Issued in WI
Practice address
615 S 8TH St Ste G20
Sheboygan, WI 53081-0001
Phone
(920) 226-9599
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1016-228 WI Primary

Addresses

Primary practice location

615 S 8TH St Ste G20
Sheboygan, WI 53081-0001

Mailing address

615 S 8TH St Ste G20
Sheboygan, WI 53081-0001
Phone (920) 226-9599

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
1016-228WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Labor of Love Center Mental Health CurrentSince Mar 19, 2023 Accepting new patients

Locations

615 S 8th St
Ste G20
Sheboygan, WI 53081
Phone (920) 226-9599

Organizations & group practices 1

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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1609577949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S 8TH ST STE G20",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530810001",
            "telephone_number": "920-226-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S 8TH ST STE G20",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530810001",
            "telephone_number": "920-226-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "MARIAH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1016-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.