Dale Michael Minor, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0008212 Issued in OH

Practice address

8699 Terrell Road
Athens, OH 45701-9325

Phone

(740) 592-5195

NPI assigned

Oct 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Dale Michael Minor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1669782322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 COLUMBUS ROAD",
            "address_2": "SUITE A4",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011312",
            "telephone_number": "740-592-4615",
            "fax_number": "740-592-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8699 TERRELL ROAD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019325",
            "telephone_number": "740-592-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "DALE",
        "middle_name": "MICHAEL",
        "name_prefix": "Prof.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0008212",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "061009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12128803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "MINOR",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "PHD, PCC, LICDC, CRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Minehart, RPH, PHARMD
• Doreen Miner
• James Mingus
• Victoria M Mingus
• Sara Mink
• Elizabeth Teresa Minor, R.N., B.S.N., M.ED.
• Isabel Minton
• Jennifer Minton, QMHS
• India B Mitchell, DTR, NDTR
• Kristen Mitchell, AU.D

• Counselor in Athens, OH
• Providers in Athens, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.