Individual provider Active NPI

Alicia F Dickens

  • Mental Health Counselor
  • Muskogee, OK
National Provider Identifier
1316219363
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002574 Issued in MO
Practice address
502 E Cincinnati Ave
Muskogee, OK 74403-5535
Phone
(918) 681-1113
Fax
(918) 681-1113
NPI assigned
Feb 7, 2012
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002574 MO Primary

Addresses

Primary practice location

502 E Cincinnati Ave
Muskogee, OK 74403-5535

Mailing address

502 E Cincinnati Ave
Muskogee, OK 74403-5535
Phone (918) 681-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240403004455 OK Practitioner - Mental Health Counselor 8527406990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002574MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Families First Inc CurrentSince Feb 1, 2024 Accepting new patients
Oklahoma Families First Inc CurrentSince Feb 1, 2024 Accepting new patients
Blue Sky Behavioral Health, Inc. Mental Health Past Accepting new patients
Blue Sky Behavior Al Health Inc Past Accepting new patients

Locations

928 N York St
Ste 44B
Muskogee, OK 74403
Phone (918) 686-5588

2600 Van Buren St
Ste 2634
Norman, OK 73072

Organizations & group practices 4

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1316219363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E CINCINNATI AVE",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035535",
            "telephone_number": "918-681-1113",
            "fax_number": "918-681-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E CINCINNATI AVE",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035535",
            "telephone_number": "918-681-1113",
            "fax_number": "918-681-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "ALICIA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.