Dale Pickett III, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704011496 Issued in VA

Practice address

333 Windermere Dr
Broadway, VA 22815-9489

Phone

(540) 333-4728

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ometz Counseling LLC

  • Professional Counselor
  • New Market, VA
  • NPI 1245950898
  Medicare reassignment NPD Authorized official
• Rocktown Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisonburg, VA
  • NPI 1154941789
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1053933549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E LEE HWY",
            "city": "NEW MARKET",
            "state": "VA",
            "postal_code": "228443221",
            "telephone_number": "540-333-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WINDERMERE DR",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159489",
            "telephone_number": "540-333-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704011496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dale@rocktowncounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "333 Windermere Dr",
            "city": "Broadway",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228159489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Logan Daniel Morrison, DPT
• Nelson L Showalte Ta Broadway Drug Center
• Nelson L Showalter Ta Broadway Drug Center
• Melissa Lynn Oczkowski
• Anna Elizabeth Patterson
• Donald Edward Rellins Jr., DDS
• Jill Frankhouser Rice, MS
• Robin D Breeden LCSW PLC
• Rooted and Restored LLC
• Jane Reid See, ANP-C

• Mental Health Counselor in Broadway, VA
• Providers in Broadway, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.