Adam Dollen, NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

096915 Issued in IA

Practice address

421 E Erie St
Missouri Valley, IA 51555

Phone

(712) 307-2355

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1619525433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HIGHWAY 191",
            "city": "PERSIA",
            "state": "IA",
            "postal_code": "51563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "51555",
            "telephone_number": "712-307-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLEN",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "096915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Adollen@windstream.net",
            "affiliation": "N",
            "address_1": "421 E Erie St",
            "city": "Missouri Valley",
            "state": "IA",
            "country_code": "US",
            "postal_code": "51555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• DT Valley LLC
• Brandon Echtenkamp, NP
• Taylor M Ehlert, NP
• Rebecca Eilers, MSW
• Elevate Daily Living LLC

• Mental Health Counselor in Missouri Valley, IA
• Providers in Missouri Valley, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.