Individual provider Active NPI

Dorthy B Kotmann, M.ED., LPC

  • Mental Health Counselor
  • Bryan, TX
National Provider Identifier
1649398868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11970 Issued in TX
Practice address
702 S Washington Ave
Bryan, TX 77803-3985
Phone
(979) 779-2864
Fax
(979) 779-8522
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11970 TX Primary

Addresses

Primary practice location

702 S Washington Ave
Bryan, TX 77803-3985

Mailing address

1259 County Road 425
Dime Box, TX 77853
Phone (979) 884-0417

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
Master of Education

State licenses

LicenseStateTypeSpecialty
11970TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Behavioral Health, LLC Past Accepting new patients
Central Texas Mental Health, LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649398868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 COUNTY ROAD 425",
            "city": "DIME BOX",
            "state": "TX",
            "postal_code": "77853",
            "telephone_number": "979-884-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S WASHINGTON AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033985",
            "telephone_number": "979-779-2864",
            "fax_number": "979-779-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTMANN",
        "first_name": "DORTHY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.