Lornette Darden Dallas, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2103696 Issued in OH

Practice address

Mahajan Therapeutic
300 North Main Street
Dayton, OH 45402

Phone

(937) 215-7500

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1669039418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E DIXON AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454193437",
            "telephone_number": "228-326-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAHAJAN THERAPEUTIC",
            "address_2": "300 NORTH MAIN STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-215-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "LORNETTE",
        "middle_name": "DARDEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70973",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C-2103696",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2103696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C-2103696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daily Triumph Care
• Dina A. Dakar, MS,RD,CNSC,LD
• Dale W. Drollinger, M.D., Inc
• Brandy M Dale, CPRS, ST-C, STNA
• Mohammed Mazen Dallal, M.D.
• Sherry Lynn Dalton, RN
• Brandi Dameron, LPN
• Alishia Damico
• Barbara Ann Damico
• Samantha Jo Damico

• Mental Health Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.