Annie Dolle, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5822 Issued in OR

Practice address

2791 SW Montgomery Dr
Portland, OR 97201-1632

Phone

(503) 201-5829

NPI assigned

Dec 30, 2013

Last updated

Jun 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arrival Counseling, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1013405380
  Authorized official Same address or phone

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1770904237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 SW MONTGOMERY DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972011632",
            "telephone_number": "503-201-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLE",
        "first_name": "ANNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Brown Doll, MS, LPC, NCC
• Tracy Chantellle Doll, O.D.
• Melissa Dollar
• Justine Coel Dollarhide, LMT
• Alexander James Dolle
• Stephanie Dollens
• Lorie Ann Dolo
• Regan Dolsby, RPH
• Mary Kima Dolson
• Robyn Ashley Dolson, PHD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.