Individual provider Active NPI

Christopher Michael Dickson, M.S.W., LCSW

  • Clinical Social Worker
  • Livermore, CO
National Provider Identifier
1295510139
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930395 Issued in CO
Practice address
279 W Quandary CT
Livermore, CO 80536-8743
Phone
(970) 232-8887
NPI assigned
Aug 29, 2023
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LSW.0009923883 CO
Clinical Social Worker 1041C0700X CSW.09930395 CO Primary

Addresses

Primary practice location

279 W Quandary CT
Livermore, CO 80536-8743

Mailing address

PO Box 2271
Fort Collins, CO 80522-2271
Phone (970) 232-8887

Other names 1

  • Christopher Michael Dickson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240903003654 CO Practitioner - Clinical Social Worker 7214476381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

208 Racquette Dr
Fort Collins, CO 80524-4851
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW.0009923883COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Military & Veteran Advocacy of Northern Colorado, LLC Current Accepting new patients
Heart Centered Counseling, PC Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Heart Centered Counseling, PC Mental Health Current Accepting new patients
Colorado Behavioral Health Services, LLC Current Accepting new patients
Advocacy Lab, LLC Clinical Current Accepting new patients

Locations

208 Racquette Dr
Fort Collins, CO 80524
Phone (866) 245-2381

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Organizations & group practices 6

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1295510139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2271",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805222271",
            "telephone_number": "970-232-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W QUANDARY CT",
            "city": "LIVERMORE",
            "state": "CO",
            "postal_code": "805368743",
            "telephone_number": "970-232-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LSW.0009923883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "DICKSON",
            "middle_name": "MICHAEL",
            "credential": "M.S.W., LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livermore, CO

Sources for this page

Verify at the official NPI Registry.