Active NPI
William Dickey III, LPCC
- Professional Counselor
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2404367
- Practice address
- 1716 North Rd SE
Warren, OH 44484-2907 - Phone
- (330) 539-3200
- NPI assigned
- Mar 5, 2019
- Last updated
- Nov 19, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | E.2404367 | OH | Primary |
Addresses
Primary practice location
1716 North Rd SE
Warren, OH 44484-2907
Mailing address
7051 West Blvd Apt 18
Youngstown, OH 44512-4305
Other practice location 1
40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 506-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1716 N Rd SE
Warren, OH 44484-2907
Phone (330) 539-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Open Water Counseling and Recovery, LLC | Current | Accepting new patients | |
| Open Water Counseling and Recovery, LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
1716 North Rd SE
Warren, OH 44484
Phone (330) 399-9776
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/openwatercounseling/r4/
Organizations & group practices 3
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
- Warren, OH
- NPI 1932747888
-
- Community/Behavioral Health Agency
- Warren, OH
- NPI 1447877147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1811455256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 WEST BLVD APT 18",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 NORTH RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444842907",
"telephone_number": "330-539-3200"
}
],
"practiceLocations": [
{
"address_1": "40722 State Route 154",
"address_purpose": "LOCATION",
"city": "Lisbon",
"state": "OH",
"postal_code": "444328500",
"country_code": "US",
"telephone_number": "330-506-1910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEY",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-05",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2404367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.