Individual provider Active NPI

Emma Dickinson, CPC-INTERN

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1386252294
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI2832 Issued in NV
Practice address
245 Mount Rose St
Reno, NV 89509-3355
Phone
(775) 448-6828
Fax
(775) 322-2964
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 CI2832 NV Primary

Addresses

Primary practice location

245 Mount Rose St
Reno, NV 89509-3355

Mailing address

245 Mount Rose St
Reno, NV 89509-3355
Phone (775) 448-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260331001478 NV Practitioner - Mental Health Counselor 8820573504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

245 Mount Rose St
Reno, NV 89509-3355

PO Box
Suite 342
Silver Springs, NV 89429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI2832NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Associates LLC CurrentSince Jul 27, 2020 Accepting new patients
G D Shoenberger, Inc. CurrentSince Jul 27, 2020 Accepting new patients

Locations

245 Mount Rose St
Reno, NV 89509
Phone (775) 448-6828

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1386252294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828",
            "fax_number": "775-322-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828",
            "fax_number": "775-322-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "EMMA",
        "credential": "CPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.