Omi J Dobbins, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004958 Issued in GA

Practice address

159 Burke St
Suite 202
Stockbridge, GA 30281-3430

Phone

(678) 960-9355

Fax

(888) 778-1614

NPI assigned

Mar 2, 2010

Last updated

Dec 6, 2014By 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 3

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1740503903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BURKE ST",
            "address_2": "SUITE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813430",
            "telephone_number": "678-960-9355",
            "fax_number": "888-778-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BURKE ST",
            "address_2": "SUITE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813430",
            "telephone_number": "678-960-9355",
            "fax_number": "888-778-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "OMI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004958",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004958",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "681838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003101354A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Shea Diruzzo, MD
• Clay Ditty, ACNP
• Jennifer Irene Diversi, DMD
• Natisha Dixon, BCBA
• Melissa Dobbins
• Ann Dobry, DO
• Mitchell James Donner, M.D.
• Donnisha Lavigne LLC
• Latorya Dopson, RBT
• Xanthea Nicole Dowell, RPH

• Professional Counselor in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.