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MRS. AMY JO ANDERLY-DOTSON L.A.D.C., L.I.C.S.W
NPI 1215119367
Counselor - Professional in Cass Lake, MN

Active since November 30, 2007
190 SAILSTAR DR NW, CASS LAKE, MN 56633(218) 335-3050(218) 335-4410 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2025, Mar 2, 2022 (2 updates tracked since 2022).

About Mrs. Amy Jo Anderly-dotson L.a.d.c., L.i.c.s.w NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY JO ANDERLY-DOTSON L.A.D.C., L.I.C.S.W (NPI 1215119367) is an individual professional provider in Cass Lake, Minnesota, licensed in Minnesota (18704) and active in the NPI registry since November 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215119367
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. AMY JO ANDERLY-DOTSONCredential: L.A.D.C., L.I.C.S.W
Location Address190 SAILSTAR DR NWCass Lake, MN 56633
Mailing Address190 Sailstar Dr NwCass Lake, MN 56633 · (218) 335-3050 · Fax (218) 335-4410
Phone(218) 335-3050
Fax(218) 335-4410
Sole ProprietorNo
Enumeration DateNovember 30, 2007
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1215119367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 18704
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302225 (MN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 18704 (MN)
190 SAILSTAR DR NW, Cass Lake, MN 56633
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Secondary Practice Locations 2

Location 1403 4th St NW, Suite 300Bemidji, MN 56601-3142 · Phone (218) 444-5155 · Fax (218) 333-3291
Location 2Nystrom Associates Limited, 112 1st Street WestBemidji, MN 56601 · Phone (218) 888-8032 · Fax (218) 888-8033

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY KROUBETZ RN
Registered Nurse
190 SAILSTAR DR NW
CASS LAKE, MN 56633
Cass County (218) 368-7461
MS. RACHEL LEA BRIST PA-C
Physician Assistant
190 SAILSTAR DR NW
CASS LAKE, MN 56633
Cass County (218) 246-2394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Anderly-dotson's NPI number?

The NPI number for Amy Anderly-dotson is 1215119367. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Amy Anderly-dotson located?

Amy Anderly-dotson practices at 190 Sailstar Dr NW, Cass Lake, MN 56633. The listed phone number is (218) 335-3050.

What is Amy Anderly-dotson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amy Anderly-dotson was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.