Individual provider Active NPI

Dorothy Wellington, B.A. ORDAINED CLERGY

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1629215603
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ORDINATION CERTIFICA Issued in AZ
Practice address
4143 N 12TH St
Suite 100-G
Phoenix, AZ 85014-4956
Phone
(602) 593-5903
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ORDINATION CERTIFICA AZ Primary

Addresses

Primary practice location

4143 N 12TH St
Suite 100-G
Phoenix, AZ 85014-4956

Mailing address

4143 N 12TH St
Suite 100-G
Phoenix, AZ 85014-4956
Phone (602) 593-5903

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
ORDINATION CERTIFICAAZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1629215603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 N 12TH ST",
            "address_2": "SUITE 100-G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144956",
            "telephone_number": "602-593-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 N 12TH ST",
            "address_2": "SUITE 100-G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144956",
            "telephone_number": "602-593-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLINGTON",
        "first_name": "DOROTHY",
        "name_prefix": "Ms.",
        "credential": "B.A. ORDAINED CLERGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "ORDINATION CERTIFICA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.