Active NPI
Jennifer Kelsey Dickson, LPC
- Professional Counselor
- Farmville, VA
National Provider Identifier
1184164832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006960
- Practice address
- 217 W 3Rd St
Farmville, VA 23901-1303 - Phone
- (434) 392-4074
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006960 | VA | Primary |
Addresses
Primary practice location
217 W 3Rd St
Farmville, VA 23901-1303
Mailing address
260 Fairgrounds Rd
Farmville, VA 23901-5401
Phone (434) 547-8989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006960 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1184164832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 FAIRGROUNDS RD",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239015401",
"telephone_number": "434-547-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W 3RD ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239011303",
"telephone_number": "434-392-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "JENNIFER",
"middle_name": "KELSEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.