Al Gregory Dodds, LPC
Individual provider Active NPI Professional Counselor · Camden, AR
NPI 1861636201 · NPPES record last updated Jul 8, 2011
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2017.
Key facts
- NPI
- 1861636201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P0010029 (AR)
- Practice address
- 277 North St
Camden, AR 71701-6266 - Phone
- (870) 390-6496
- Fax
- (870) 836-0264
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0010029 | AR | MD | Professional Counselor |
| LPC005486 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005486 | GA | |
| Professional Counselor | 101YP2500X | P0010029 | AR | Yes |
Addresses
Primary practice location
277 North St
Camden, AR 71701-6266
Mailing address
225 Country Club Dr
Suite 140
Stockbridge, GA 30281-7300
Phone (678) 565-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141479019 | Medicaid | AR |
Other providers in Camden, AR
- Velma Defee
- Dawn Deffenbaugh
- Amy Deluca
- Fred W Dietrich
- Diversicare Leasing Corp.
- Kiley Jane Doherty
- Caitlin Dolive
- Anita Elaine Dorey
- Katie Dowell
- Dr. Randy P. Everett, DDS, PA
All providers in Camden, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.