Individual provider Active NPI

Elinor Phillips Dickshinski, M.S., NCC, L.C.P.C

  • Professional Counselor
  • Mechanicsville, MD
National Provider Identifier
1285857490
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3400 Issued in MD
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

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LC3400MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.