Individual provider Active NPI

Carol A. Dickinson, LPC

  • Mental Health Counselor
  • Buckeye, AZ
National Provider Identifier
1235983594
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20349 Issued in AZ
Practice address
20481 W Legend TRL
Buckeye, AZ 85396-1751
Phone
(480) 229-2315
NPI assigned
Apr 15, 2024
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20349 AZ Primary

Addresses

Primary practice location

20481 W Legend TRL
Buckeye, AZ 85396-1751

Mailing address

20481 W Legend TRL
Buckeye, AZ 85396-1751
Phone (480) 229-2315

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250911000924 AZ Practitioner - Mental Health Counselor 5799288262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connections Counseling and Consulting LLCGroup PAC ID 6901319631, 2 clinicians

Practice addresses (Care Compare)

15150 W Park PL
Suite 2055
Goodyear, AZ 85395-2385
Phone (602) 679-4691

20481 W Legend TRL
Buckeye, AZ 85396-1751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-20349AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling and Consulting LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

15150 W Park Pl
Fl 2
Goodyear, AZ 85395
Phone (480) 207-0296

15150 W Park Pl
Ste 2055
Goodyear, AZ 85395
Phone (602) 679-4691

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1235983594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20481 W LEGEND TRL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961751",
            "telephone_number": "480-229-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20481 W LEGEND TRL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961751",
            "telephone_number": "480-229-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.