Active NPI
John Dickey, LPC
- Mental Health Counselor
- Broomfield, CO
National Provider Identifier
1265110977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0018626
- Practice address
- 109 Pinon St
Broomfield, CO 80020-2910 - Phone
- (303) 720-6473
- NPI assigned
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0018626 | CO | Primary |
Addresses
Primary practice location
109 Pinon St
Broomfield, CO 80020-2910
Mailing address
8781 Sheridan Blvd # 6095
Westminster, CO 80003-1440
Other practice location 1
109 Pinon St
Broomfield, CO 80020-2910
Phone (303) 720-6473
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 |
|---|---|---|---|
| LPC.0018626 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1265110977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8781 SHERIDAN BLVD # 6095",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800031440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PINON ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202910",
"telephone_number": "303-720-6473"
}
],
"practiceLocations": [
{
"address_1": "109 Pinon St",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800202910",
"country_code": "US",
"telephone_number": "303-720-6473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEY",
"first_name": "JOHN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0018626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.