Dorothy A Wellock, MA,NCC,LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC005183 Issued in PA

Practice address

341 Story Rd
Export, PA 15632-2666

Phone

(724) 468-3999

Fax

(724) 468-0039

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Namaste Holistic Counseling PC

  • Professional Counselor
  • Export, PA
  • NPI 1003365560
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1649408592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HERMITAGE CIR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582418",
            "telephone_number": "724-875-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 STORY RD",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156322666",
            "telephone_number": "724-468-3999",
            "fax_number": "724-468-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLOCK",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA,NCC,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC005183",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William George Tylavsky, D.M.D.
• Anne S Valko, MD
• Joshua Thomas Wagner, PT, DPT
• Walter D. Beam D.O., P.C.
• Madeline Watton
• Westmoreland Chiropractic & Rehab Associates LLC
• Monte Shawn Wright
• Daniel Writt, ATC
• Jin Yun

• Mental Health Counselor in Export, PA
• Providers in Export, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.