IndividualActive
Amy Anderly-Dotson, L.A.D.C., L.I.C.S.W
NPI 1215119367 · Professional Counselor · Cass Lake, MN
Provider details
- NPI number
- 1215119367
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- L.A.D.C., L.I.C.S.W
- Sex
- Female
- Sole proprietor
- No
- License
- 302225 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(97/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
190 Sailstar Dr Nw
Cass Lake, MN 56633
Phone: (218) 335-3050
Fax: (218) 335-4410
Approximate (ZIP-level) locationGet directions
Mailing address
190 Sailstar Dr Nw
Cass Lake, MN 56633
Additional practice locations (2)
- Nystrom Associates Limited112 1st Street WestBemidji, MN 56601Phone: (218) 888-8032Fax: (218) 888-8033
- 403 4th St NwSuite 300Bemidji, MN 56601-3142Phone: (218) 444-5155Fax: (218) 333-3291
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2025-03-10
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.