Organization Active NPI

Candace Dickinson Counseling Services LLC Candace Dickinson Sole MBR

  • Community/Behavioral Health Agency
  • Beverly, MA
National Provider Identifier
1497469993
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CANDACE DICKINSON COUNSELING SERVICES LLC CANDACE DICKINSON SOLE MBR
Practice address
100 Cummings Ctr Ste 342H
Beverly, MA 01915-6500
Phone
(508) 571-8757
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Candace Dickinson, MA, LMHCNPI 1437550381
Title
Clinician/ Owner
Phone
(508) 571-8757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 342H
Beverly, MA 01915-6500

Mailing address

100 Powdermill Rd # 209
Acton, MA 01720-5932
Phone (508) 571-8757

National Provider Directory

National Provider Directory

Locations

100 Powdermill Rd
#209
Acton, MA 01720

100 Cummings Ctr
Ste 342H
Beverly, MA 01915
Phone (508) 571-8757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1497469993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWDERMILL RD # 209",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205932",
            "telephone_number": "508-571-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 342H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156500",
            "telephone_number": "508-571-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE DICKINSON COUNSELING SERVICES LLC CANDACE DICKINSON SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CLINICIAN/ OWNER",
        "authorized_official_telephone_number": "508-571-8757",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.