Active NPI
Jonathan Raymond Dolan, LMHC
- Mental Health Counselor
- Wilton Manors, FL
National Provider Identifier
1932226867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7909
- Practice address
- 2647 N Andrews Ave
Wilton Manors, FL 33311-2509 - Phone
- (954) 564-9390
- Fax
- (954) 564-9391
- NPI assigned
- Mar 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7909 | FL | Primary |
Addresses
Primary practice location
2647 N Andrews Ave
Wilton Manors, FL 33311-2509
Mailing address
2647 N Andrews Ave
Wilton Manors, FL 33311-2509
Phone (954) 564-9390
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH7909 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932226867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 N ANDREWS AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333112509",
"telephone_number": "954-564-9390",
"fax_number": "954-564-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 N ANDREWS AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333112509",
"telephone_number": "954-564-9390",
"fax_number": "954-564-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "JONATHAN",
"middle_name": "RAYMOND",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Shirley Carolina Delmoral, LMHC
- Denebola TR
- Joyce Despres
- Mark Daniel Dhooge
- Carlos S Diaz Barcelo, M.D.
- John William Doran, LCSW
- Dr Andreu J Richardson, DC, PA (Wilton Manors Family Chiropractic & Wellness Centre)
- Dr Gil, LLC
- Dr Janis C Turner Chiropractic Physician PA (Janis C. Turner, DC)
- Dr. Huss PA (One Hand Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.