Active NPI
Lark Doolan
- Mental Health Counselor
- Arcata, CA
National Provider Identifier
1982320545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT133525
- Practice address
- 1391 G St
Arcata, CA 95521-5820 - Phone
- (707) 633-9079
- NPI assigned
- Oct 17, 2022
- 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 | AMFT133525 | CA | Primary |
Addresses
Primary practice location
1391 G St
Arcata, CA 95521-5820
Mailing address
1676 I St
Arcata, CA 95521-5530
Phone (707) 633-9079
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 |
|---|---|---|---|
| AMFT133525 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queer Humboldt | Current | 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.
-
- Marriage & Family Therapist
- Arcata, CA
- NPI 1295504793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1982320545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 I ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215530",
"telephone_number": "707-633-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 G ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215820",
"telephone_number": "707-633-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLAN",
"first_name": "LARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-17",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT133525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.