Individual provider Active NPI

Mark Eugene Doland

  • Addiction (Substance Use Disorder) Counselor
  • Des Moines, IA
National Provider Identifier
1649803065
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T18024 Issued in IA
Practice address
2331 E 8TH St
Des Moines, IA 50316-1715
Phone
(515) 266-6338
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T18024 IA Primary

Addresses

Primary practice location

2331 E 8TH St
Des Moines, IA 50316-1715

Mailing address

1111 University Ave
Des Moines, IA 50314-2329
Phone (515) 697-7995

Other practice location 1

501 SW Ankeny Rd
Ankeny, IA 50023-9702
Phone (515) 289-2272

Other practice location 2

405 E McLane St
Osceola, IA 50213-1592
Phone (641) 342-4888

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

State licenses

LicenseStateTypeSpecialty
T18024IAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1649803065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142329",
            "telephone_number": "515-697-7995",
            "fax_number": "515-288-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 E 8TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161715",
            "telephone_number": "515-266-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 SW Ankeny Rd",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500239702",
            "country_code": "US",
            "telephone_number": "515-289-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 E McLane St",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "IA",
            "postal_code": "502131592",
            "country_code": "US",
            "telephone_number": "641-342-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAND",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T18024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

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