Individual provider Active NPI

Andrea Felicia Dotson, CERTIFICATION

  • Counselor
  • Round Rock, TX
National Provider Identifier
1992496319
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16847 Issued in TX
Practice address
551 South I-35 Frontage Rd
Suite 362
Round Rock, TX 78664
Phone
(682) 710-3519
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 16847 TX Primary

Addresses

Primary practice location

551 South I-35 Frontage Rd
Suite 362
Round Rock, TX 78664

Mailing address

551 South I-35 Frontage Rd
Suite 362
Round Rock, TX 78664
Phone (682) 710-3519

Other practice location 1

551 South I-35 Frontage Rd
Suite 362
Round Rock, TX 78664
Phone (682) 710-3519

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
16847TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1992496319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 SOUTH I-35 FRONTAGE RD",
            "address_2": "SUITE 362",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "682-710-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SOUTH I-35 FRONTAGE RD",
            "address_2": "SUITE 362",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "682-710-3519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 South I-35 Frontage Rd",
            "address_2": "Suite 362",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "78664",
            "country_code": "US",
            "telephone_number": "682-710-3519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "ANDREA",
        "middle_name": "FELICIA",
        "credential": "CERTIFICATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.