Active NPI
Kelin Dickerson, M.A.
- Marriage & Family Therapist
- Peabody, MA
National Provider Identifier
1073822060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1R Newbury St Ste 211
Peabody, MA 01960-3816 - Phone
- (978) 276-4184
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1R Newbury St Ste 211
Peabody, MA 01960-3816
Mailing address
1R Newbury St Ste 211
Peabody, MA 01960-3816
Phone (978) 276-4184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1073822060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1R NEWBURY ST STE 211",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603816",
"telephone_number": "978-276-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1R NEWBURY ST STE 211",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603816",
"telephone_number": "978-276-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "KELIN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.