Active NPI
Dale J Brickley, PHD
- Professional Counselor
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003542
- Practice address
- 283 S Butler Rd
Lebanon, PA 17042-8939 - Phone
- (717) 273-8871
- Fax
- (717) 270-2452
- NPI assigned
- May 18, 2007
- Sex
- Male
- 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 | PC003542 | PA | Primary |
Addresses
Primary practice location
283 S Butler Rd
Lebanon, PA 17042-8939
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
605 S George St Ste 100
York, PA 17401-3164
Phone (717) 356-5060
Other practice location 2
169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311
Other practice location 3
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 821-8017
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103760371 | Medicaid | PA | |
| PC003542 | Other | PA | STATE LICENSE - PROFESSIONAL COUNSELOR |
| 11738527 | Other | CAQH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1225246937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 S BUTLER RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428939",
"telephone_number": "717-273-8871",
"fax_number": "717-270-2452"
}
],
"practiceLocations": [
{
"address_1": "605 S George St Ste 100",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174013164",
"country_code": "US",
"telephone_number": "717-356-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-733-0311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-821-8017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRICKLEY",
"first_name": "DALE",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103760371",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - PROFESSIONAL COUNSELOR",
"identifier": "PC003542",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "11738527",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.