Active NPI
Perry Dodge, L.P.C.
- Professional Counselor
- Saint Peters, MO
National Provider Identifier
1740512284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005038693
- Practice address
- 91 Centre Pointe Dr
Saint Peters, MO 63304-8579 - Phone
- (314) 814-4111
- Fax
- (636) 928-3524
- NPI assigned
- Feb 9, 2010
- Last updated
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005038693 | MO | Primary |
Addresses
Primary practice location
91 Centre Pointe Dr
Saint Peters, MO 63304-8579
Mailing address
91 Centre Pointe Dr
Saint Peters, MO 63304-8579
Phone (314) 814-4111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005038693 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1740512284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CENTRE POINTE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633048579",
"telephone_number": "314-814-4111",
"fax_number": "636-928-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CENTRE POINTE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633048579",
"telephone_number": "314-814-4111",
"fax_number": "636-928-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "PERRY",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005038693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
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- James W Dimitroff, MD
- Susan Elizabeth Dobrinic, MHS CCC-SLP
- Docmartin's PLLC
- Kenyota Dokes, MA., LPC
- Alla Dorfman, MD
- Jarrod A Dornfeld, MD
- Katherine A Dorwart, MA, LPC
- Patrick Joseph Dowling, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.