Natasha Dickerson-Amaya, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010696 Issued in VA

Practice address

420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172

Phone

(540) 907-0121

Fax

(866) 832-7890

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Lighthouse Counseling of Fredericksburg, PLC

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1225579790
  NPD
• Lighthouse Counseling of Fredericksburg, PLC

  • Counselor
  • Fredericksburg, VA
  • NPI 1346657269
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1669141081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON-AMAYA",
        "first_name": "NATASHA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Medical Laboratories, LLC.
• Diana Tran OD
• Diann M Vild
• Angela Maria Diaz, DDS
• Delise B Dickard, LPC
• Kisma Dickerson
• Lindsay Coker Dickinson, MA,CCC-SLP
• Shauna Renee Dickinson, M.S., CCC-SLP
• Courtney Diener
• Aaron Matthew Diestel, CNM

• Professional Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.