Marilyn A Dickerson
Individual provider Active NPI Mental Health Counselor · Payette, ID
NPI 1184517153 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1184517153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- PO Box 421
Payette, ID 83661-0421 - Phone
- (208) 809-8226
- NPI assigned
- May 30, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
PO Box 421
Payette, ID 83661-0421
Mailing address
PO Box 62
New Plymouth, ID 83655-0062
Phone (208) 809-8226
Other providers in Payette, ID
- Teresa Crossley
- Diamond Cruz
- Dan C Thieme OD PC
- Elizabeth G Daniels
- Dental Health Care With Heart
- Rachel Donaldson
- Penny L Dunham
- Jennifer Shawn Eason-Barnett
- Emily Ann Eaton
- Tanya Lee Ebbers
All providers in Payette, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.