Olivia Dorn, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3523 Issued in AL

Practice address

2218 Yorktown Dr
Tuscaloosa, AL 35406-1631

Phone

(205) 260-5769

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Dorn Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscaloosa, AL
  • NPI 1083355523
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1841896115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 YORKTOWN DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061631",
            "telephone_number": "205-208-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 YORKTOWN DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061631",
            "telephone_number": "205-260-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Northbank Parkway",
            "address_2": "Suite 273",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354063540",
            "country_code": "US",
            "telephone_number": "205-208-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORN",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-01-19",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Goolsby Donaldson, PT
• Robert Michael Donlan, D.O.
• Sean Patrick Dooley
• Dorn Counseling Services LLC
• David Paul Dorn Jr., MD
• Robert Burdette Dorroh, CRNA
• Patricia Ann Doughty, MSW, LICSW-PIP
• Mary Laurel Parick Douthit, DMD
• Down to Earth Counseling LLC
• Adam Braxton Downs, L.M.F.T.

• Mental Health Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.