Dawn W. Dickerson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0065612 Issued in NM

Practice address

1809 Moon St NE
Suite 3
Albuquerque, NM 87112-2850

Phone

(505) 450-6175

Fax

(505) 292-6336

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366516759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50369",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871810369",
            "telephone_number": "505-450-6175",
            "fax_number": "505-292-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 MOON ST NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122850",
            "telephone_number": "505-450-6175",
            "fax_number": "505-292-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "DAWN",
        "middle_name": "W.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0065612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13632345",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Vincent Dick, CRNA
• Jonathan Grant Dicke
• Nicole Dicken
• Jessica Dicker
• Betty Dickerson, SW
• Rosina Katharina Dickerson
• Maria Dickinson
• Caroline E Dickson
• Janalyn Dickson
• Patricia Ann Dickson, RPH

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.