Valencia Deshane Dickerson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

243847 Issued in KY

Practice address

525 W 5TH St
Covington, KY 41011-1259

Phone

(606) 356-9741

NPI assigned

Nov 6, 2018

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindfully, LLC

  • Counselor
  • Louisville, KY
  • NPI 1891433975

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Addiction (Substance Use Disorder)

  NPD
• Counseling and Diagnostic Center, LLC

  dba Counseling & Diagnostic Centers

  • Clinical Psychologist
  • Florence, KY
  • NPI 1679644967

  Professional

  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1518435759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 HAWTHORNE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052318",
            "telephone_number": "606-356-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "606-356-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Home Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111942",
            "country_code": "US",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "VALENCIA",
        "middle_name": "DESHANE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "243847",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "243847",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "243847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100591700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Delaney, M. ED.
• Joseph Nathaniel Dennis, LCSW
• Katherine Dennis, LPCC
• Jason Denuccio
• Chelsey Derifield, LCSW
• Sara M Dillman, APRN
• Thomas J Dilts, DMD
• Nathaniel Joseph Dittoe, M.D.
• Divine Angels Homecare LLC
• Lisa Dodd

• Professional Counselor in Covington, KY
• Providers in Covington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.