Terri Dickerson, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1260 Issued in KY

Practice address

505 Hecks Plaza
Morehead, KY 40351

Phone

(859) 209-2360

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1275903924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 TACKETT BOTTOM RD",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "41465",
            "telephone_number": "859-209-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HECKS PLAZA",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "859-209-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TERRI",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Health Professionals of Kentucky, P.S.C. (Beacon Hill Family Dentistry)
• Marie A.J. Denton, PHARMACIST
• Gabriela Diaz
• Eric Dale Dickerson, MS CCC/SLP
• Lori Dickerson, RPH
• Courtney Dillon
• Megan Dillon, MD
• Tyler Dittmann, DO
• Donna Dixon, LPCC, LADC, MA, MED
• Samantha Elizabeth Dolan, PA-C

• Addiction (Substance Use Disorder) Counselor in Morehead, KY
• Providers in Morehead, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.