Active NPI
Denise Dickens, PLPC
- Counselor
- Waynesville, MO
National Provider Identifier
1215306287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2015030972
- Practice address
- 704 Historic 66 W Ste 207
Waynesville, MO 65583-2136 - Phone
- (573) 433-4846
- Fax
- (573) 433-1208
- NPI assigned
- Sep 21, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2015030972 | MO | Primary |
Addresses
Primary practice location
704 Historic 66 W Ste 207
Waynesville, MO 65583-2136
Mailing address
1824 Jaden CT
Lebanon, MO 65536-4107
Phone (417) 718-9065
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 |
|---|---|---|---|
| 2015030972 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1215306287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 JADEN CT",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364107",
"telephone_number": "417-718-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 HISTORIC 66 W STE 207",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832136",
"telephone_number": "573-433-4846",
"fax_number": "573-433-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "DENISE",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2015030972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.