Active NPI
Kimberly J. Feronti Dickinson, M.ED. L.P.C.
- Professional Counselor
- Edmond, OK
National Provider Identifier
1780804385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1084
- Practice address
- 20 E. 5TH Street
Suite # 200
Edmond, OK 73034 - Phone
- (405) 642-1622
- Fax
- (405) 216-3103
- NPI assigned
- Apr 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1084 | OK | Primary |
Addresses
Primary practice location
20 E. 5TH Street
Suite # 200
Edmond, OK 73034
Mailing address
9334 Bergamo Boulevard
Edmond, OK 73034
Phone (405) 642-1622
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1084 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1780804385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9334 BERGAMO BOULEVARD",
"city": "EDMOND",
"state": "OK",
"postal_code": "73034",
"telephone_number": "405-642-1622",
"fax_number": "405-216-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E. 5TH STREET",
"address_2": "SUITE # 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "73034",
"telephone_number": "405-642-1622",
"fax_number": "405-216-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERONTI DICKINSON",
"first_name": "KIMBERLY",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "M.ED. L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.