Andre L Dodson Jr., MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7331 Issued in TN

Practice address

6263 Poplar Ave Ste 900
Memphis, TN 38119-4743

Phone

(901) 660-2272

NPI assigned

Aug 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: andre.dodsonjrlpcmhsp.d1.p1@direct.tristatechc.nextgenshare.com
• Direct secure messaging: andre.dodsonjrlpcmhsp.d2.p1@direct.tristatechc.nextgenshare.com
• Direct secure messaging: andre.dodsonjrlpcmhap.p1@direct.tristatechc.nextgenshare.com

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1750009346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 MISTY RIVER RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381356178",
            "telephone_number": "901-295-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE STE 900",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194743",
            "telephone_number": "901-660-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Park Row Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760102559",
            "country_code": "US",
            "telephone_number": "901-213-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "ANDRE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7331",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Dobson, DC
• Nicole Renee Dockery, CPNP
• Nikia Dockery, PHARMD
• Tiraney Dockins
• Harshil Dodia, M.D.
• Ashley Kaitlyn Dodson
• Justin Dodson, PHD, LPC
• Lillie R. Dodson, MSSW, ACSW,LCSW
• Merri L Dodson
• Willie Lee Dodson Jr., PA

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.