Rebecca Dickerson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

303 NE 3Rd Ave Ste 7&8
Cape Coral, FL 33909-2538

Phone

(239) 354-7227

Fax

(800) 948-3094

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Direct Access Counseling & Supportive Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449
  Medicare reassignment NPD
• The Traveling Therapist LLC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1699244640
  Medicare reassignment NPD
• Calm Waters Counseling Group

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1871326470
  NPD (past)

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1194501726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 7&8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "239-354-7227",
            "fax_number": "800-948-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 7&8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "239-354-7227",
            "fax_number": "800-948-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regla Diaz
• Steven Diaz
• Yirisley None Diaz
• Yudmila Diaz
• Daniel Joseph Dibagno, D.M.D.
• Delkis Dieguez Cantallops
• Leticia Dieguez Rojas
• Digestive Specialists, P.a.
• Lucinda Lee Diggs, M.S., CCC-SLP
• Nathalie Dilla, RBT-25-501699

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.