KATHLEEN E DORSTEN (NPI# 1326410028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326410028 |
| Entity Type | Individual |
| Full Name | KATHLEEN E DORSTEN |
| Other Name | KATHLEEN E ROLLER |
| Credential | IMFT |
| Practice Address |
37 Irongate Park Dr Centerville OH 45459 |
| Mailing Address |
37 Irongate Park Dr Centerville OH 45459-4616 |
| Practice Telephone | 9379070393 |
| Mailing Telephone | 9379070393 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
F.1500013 | OH | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | F.1500013 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARF CERTIFICATION | 01-0693 | 01 |
| OH | OHIO DEPT. MENTAL HEALTH (GROUP) | 0074946 | 01 |
| OH | OHIO DEPT. ALCOHOL DRUG ADDICTION SERVICES (ODADAS) GROUP | 0074861 | 01 |
| OH | MEDICARE GROUP PTAN | H130910 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4464 S Dixie Hwy, Middletown, OH 450055464 | 5136498008 | 5136498004 |
| Street Address |
37 IRONGATE PARK DR |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| 1164614657 | Linda Mary Merrell | Technician | 501 Windsor Park Drive, Centerville, OH 45459 | 2007-08-17 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404231 | Douglas Hopper | Marriage & Family Therapist | 25 S Main St Ste 202, Centerville, UT 84014-1840 | 2012-12-06 |
| 1851618268 | R Cadiance LLC | Marriage & Family Therapist | 7239 Brian Dr, Centerville, MN 55038-9796 | 2010-04-23 |
| 1033398383 | Monica L. Gardner | Marriage & Family Therapist | 952 S 800 E, Centerville, UT 84014-2552 | 2007-11-02 |
| 1255485793 | Kevin Dee Broderick | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2007-01-22 |
| 1174694947 | Jari Lynn Welle | Marriage & Family Therapist | 7039 20th Avenue South, Centerville, MN 55038-9737 | 2006-11-13 |
| 1538253133 | Kimberly Ann Lundholm-eades | Marriage & Family Therapist | 7039 20th Ave, Centerville, MN 55038-9737 | 2006-10-03 |
| 1093279168 | Lauren Samuelsen | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2019-01-23 |
| 1518496637 | Rachel Maldonado | Marriage & Family Therapist | 94 E Pages Ln Ste A, Centerville, UT 84014-2216 | 2017-06-12 |
| 1801248836 | Brigitta Brandt | Marriage & Family Therapist | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2016-07-01 |
| 1093166886 | Melissa Strombeck, Imft | Marriage & Family Therapist | 51 Irongate Park Dr, Centerville, OH 45459-4616 | 2016-06-23 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
Please comment or provide details below to improve the information on KATHLEEN E DORSTEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.