NPIMap

Organization Active NPI

Debbie E. Dickson Counseling, Inc

  • Mental Health Counselor
  • Coshocton, OH
National Provider Identifier
1225189046
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I0005776 Issued in OH
Legal business name
DEBBIE E. DICKSON COUNSELING, INC
Practice address
41191 TR 78
Coshocton, OH 43812
Phone
(740) 294-9006
Fax
(740) 587-2822
NPI assigned
Jan 16, 2007
Last updated
Nov 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Debbie Elaine Dickson, LISWNPI 1982718128
Title
Owner
Phone
(740) 294-9006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X I0005776 OH Primary

Addresses

Primary practice location

41191 TR 78
Coshocton, OH 43812

Mailing address

41191 TR 78
Coshocton, OH 43812
Phone (740) 294-9006

Other identifiers 1

IdentifierTypeStateIssuer
1982718128OtherOHNPI

Other names 1

  • Ohio Psychiatric Association Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000294 OH Part B Supplier - Clinic/Group Practice 2163459892 Receives reassigned benefits from 1 practitioner
Practice locations: Coshocton, OH

National Provider Directory

National Provider Directory

Locations

905 River Rd
Ste A
Granville, OH 43023
Phone (740) 507-6707

945 River Rd
Granville, OH 43023
Phone (740) 587-2822

221 Railroad St
Warsaw, OH 43844
Phone (740) 294-9006

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1225189046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41191 TR 78",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-294-9006",
            "fax_number": "740-587-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41191 TR 78",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-294-9006",
            "fax_number": "740-587-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE E. DICKSON COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-294-9006",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0005776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982718128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Psychiatric Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.