Individual provider Active NPI

Nadine Marianne Dody, MA MFT LPC

  • Mental Health Counselor
  • Redmond, OR
National Provider Identifier
1649448689
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1979 Issued in OR
Practice address
7555 Falcon Crest Dr Ste 205
Redmond, OR 97756-5023
Phone
(541) 699-2915
Fax
(541) 316-1006
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 C1979 OR Primary

Addresses

Primary practice location

7555 Falcon Crest Dr Ste 205
Redmond, OR 97756-5023

Mailing address

7555 Falcon Crest Dr Ste 205
Redmond, OR 97756-5023
Phone (541) 699-2915

Other practice location 1

101 NE Roberts Ave
Gresham, OR 97030-7551
Phone (503) 515-8922

Other identifiers 1

IdentifierTypeStateIssuer
208891654MedicaidOR

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 Arts

State licenses

LicenseStateTypeSpecialty
C1979ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1649448689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 FALCON CREST DR STE 205",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565023",
            "telephone_number": "541-699-2915",
            "fax_number": "541-316-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 FALCON CREST DR STE 205",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565023",
            "telephone_number": "541-699-2915",
            "fax_number": "541-316-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 NE Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307551",
            "country_code": "US",
            "telephone_number": "503-515-8922",
            "fax_number": "501-512-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODY",
        "first_name": "NADINE",
        "middle_name": "MARIANNE",
        "credential": "MA MFT LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208891654",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.