Individual provider Active NPI

Michael Jay Dotson, L.P.A., L.P.A.

  • Professional Counselor
  • San Angelo, TX
National Provider Identifier
1831213826
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13692 Issued in TX
Practice address
1301 Hunters Glen Rd
San Angelo, TX 76901-5005
Phone
(325) 947-7080
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13692 TX Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 30906 TX

Addresses

Primary practice location

1301 Hunters Glen Rd
San Angelo, TX 76901-5005

Mailing address

1301 Hunters Glen Rd
San Angelo, TX 76901-5005
Phone (325) 947-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001692 TX Practitioner - Mental Health Counselor 7911323597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone (325) 658-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13692TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concho Valley Center for Human Advancement Professional CurrentSince Dec 31, 2024 Accepting new patients
Concho Valley Center for Human Advancement Professional CurrentSince Dec 31, 2024 Accepting new patients

Locations

1501 W Beauregard Ave
San Angelo, TX 76901
Phone (325) 658-7750

202 N Main St
San Angelo, TX 76903
Phone (325) 658-7750

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1831213826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HUNTERS GLEN RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015005",
            "telephone_number": "325-947-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HUNTERS GLEN RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015005",
            "telephone_number": "325-947-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "L.P.A., L.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13692",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "30906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.