Amy Jo Anderly-Dotson, L.A.D.C., L.I.C.S.W
NPI 1215119367ActiveIndividual· Counselor, Professional· Cass Lake, MN
Counselor, Professional (L.A.D.C., L.I.C.S.W) in Cass Lake, Minnesota, licensed in MN, with an NPI issued in November 2007.
Overview
| NPI | 1215119367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.A.D.C., L.I.C.S.W |
| Sole proprietor | No |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 18704 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 302225 | MN |
| Counselor, Mental Health | 101YM0800X | 18704 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|