Active NPI
Angela Waugh Dickinson, LPC
- Professional Counselor
- Leesburg, VA
National Provider Identifier
1659824142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2669
- Practice address
- 42009 Victory LN
Leesburg, VA 20176-6269 - Phone
- (703) 777-0800
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002094 | VA | |
| Professional Counselor | 101YP2500X | 2669 | WV | Primary |
Addresses
Primary practice location
42009 Victory LN
Leesburg, VA 20176-6269
Mailing address
1198 Johnnycake LN
Harpers Ferry, WV 25425-4513
Phone (540) 287-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002094 | VA | MD | Professional Counselor |
| 2669 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1659824142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 JOHNNYCAKE LN",
"city": "HARPERS FERRY",
"state": "WV",
"postal_code": "254254513",
"telephone_number": "540-287-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42009 VICTORY LN",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766269",
"telephone_number": "703-777-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "ANGELA",
"middle_name": "WAUGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002094",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.