Kaitlyn Elaine Dickinson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

299963 Issued in KY

Practice address

115B Chester CT Unit B
Bowling Green, KY 42103-7018

Phone

(859) 309-5193

NPI assigned

Dec 16, 2022

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bluegrass Behavioral Health Group, LLC

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1952840860

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1063124410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHESTER CT UNIT B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037018",
            "telephone_number": "859-309-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115B CHESTER CT UNIT B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037018",
            "telephone_number": "859-309-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "KAITLYN",
        "middle_name": "ELAINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "282194",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "299963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina A Dick, LPCC
• Natalie Dickerson, DPT
• Sidney Marie Dickhaus, MSW, CSW
• Amy W Dickinson, CRNA
• Jonathan S Dickinson, CRNA
• Dignity Living LLP
• Abby N Dill, LCSW
• Megan Dimaoala, RBT
• District 4 Cdo Program
• District 4 Cdo Program

• Mental Health Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.