Individual provider Active NPI

Natese Dockery

  • Professional Counselor
  • Worthington, OH
National Provider Identifier
1881162998
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2103217 Issued in OH
Practice address
438 E Wilson Bridge Rd Ste 203
Worthington, OH 43085-2382
Phone
(614) 354-4822
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Professional Counselor 101YP2500X C.2103217 OH Primary

Addresses

Primary practice location

438 E Wilson Bridge Rd Ste 203
Worthington, OH 43085-2382

Mailing address

9000 Burma Rd Ste 109
Palm Beach Gardens, FL 33403-1606

Other practice location 1

9000 Burma Rd Ste 109
Palm Beach Gardens, FL 33403-1606
Phone (561) 508-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2103217OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olakino Inc. CurrentSince Apr 28, 2024 Accepting new patients
Project Brilliance Past Accepting new patients

Locations

438 E Wilson Bridge Rd
Ste 203
Worthington, OH 43085
Phone (614) 333-0458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1881162998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 BURMA RD STE 109",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E WILSON BRIDGE RD STE 203",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852382",
            "telephone_number": "614-354-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Burma Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334031606",
            "country_code": "US",
            "telephone_number": "561-508-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "NATESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

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