Individual provider Active NPI

J Male Dobbins, LPC-IT, MS

  • Professional Counselor
  • La Crosse, WI
National Provider Identifier
1881169936
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4171-226 Issued in WI
Practice address
115 5TH Ave S Ste 523
La Crosse, WI 54601-4018
Phone
(608) 797-5679
Fax
(608) 782-4426
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4171-226 WI Primary

Addresses

Primary practice location

115 5TH Ave S Ste 523
La Crosse, WI 54601-4018

Mailing address

1042 East Ave N
Onalaska, WI 54650-2269
Phone (608) 385-1327

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4171-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC PastSince Sep 1, 2018 Accepting new patients

Organizations & group practices 1

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1881169936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 EAST AVE N",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502269",
            "telephone_number": "608-385-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S STE 523",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014018",
            "telephone_number": "608-797-5679",
            "fax_number": "608-782-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "J",
        "middle_name": "MALE",
        "credential": "LPC-IT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4171-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.