Active NPI
Janet Marie Dickerson, L.P.C.C., R.N.,
- Professional Counselor
- Tiffin, OH
National Provider Identifier
1699972349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E. 0003629 SUPV
- Practice address
- 24 W Market St
Tiffin, OH 44883-2720 - Phone
- (419) 448-4094
- NPI assigned
- Jun 27, 2007
- Last updated
- Sep 25, 2007
- 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 | E. 0003629 SUPV | OH | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | RN. 181935 | OH |
Addresses
Primary practice location
24 W Market St
Tiffin, OH 44883-2720
Mailing address
149 Clinton Ave
Tiffin, OH 44883-1632
Phone (419) 448-4019
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E. 0003629 SUPV | OH | MD | Professional Counselor |
| RN. 181935 | OH | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Transitions Counseling L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Tiffin, OH
- NPI 1659564391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1699972349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 CLINTON AVE",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448831632",
"telephone_number": "419-448-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832720",
"telephone_number": "419-448-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "JANET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.P.C.C., R.N.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E. 0003629 SUPV",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OH",
"license": "RN. 181935",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.