Active NPI
Elinor Phillips Dickshinski, M.S., NCC, L.C.P.C
- Professional Counselor
- Mechanicsville, MD
National Provider Identifier
1285857490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3400
- Practice address
- 28105 Three Notch Rd
Mechanicsville, MD 20659-3235 - Phone
- (240) 441-8095
- Fax
- (301) 710-0175
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3400 | MD | Primary |
Addresses
Primary practice location
28105 Three Notch Rd
Mechanicsville, MD 20659-3235
Mailing address
8834 Cottongrass St
Waldorf, MD 20603-4943
Phone (240) 441-8095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 14, 2024 through Aug 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3400 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Counseling Services. LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Waldorf, MD
- NPI 1457814246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1285857490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8834 COTTONGRASS ST",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034943",
"telephone_number": "240-441-8095",
"fax_number": "301-710-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28105 THREE NOTCH RD",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206593235",
"telephone_number": "240-441-8095",
"fax_number": "301-710-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSHINSKI",
"first_name": "ELINOR",
"middle_name": "PHILLIPS",
"credential": "M.S., NCC, L.C.P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.