Searra Adele Dickason

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

29398 Recovery Way Ste 1
Junction City, OR 97448-8447

Phone

(541) 995-2210

Fax

(541) 995-2274

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1821773524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170",
            "fax_number": "541-858-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29398 RECOVERY WAY STE 1",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974488447",
            "telephone_number": "541-995-2210",
            "fax_number": "541-995-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKASON",
        "first_name": "SEARRA",
        "middle_name": "ADELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maci Marie Deblanc
• Devon Denny, OTR
• Guy R. Dent
• George Stewart Dettlinger
• DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P (Oregon State Hospital Junction City Campus)
• Jon Louis Dorbolo
• Michelle Elisabeth Downing, DPT
• Michelle Marie Driver
• DRS. Bullock & Powell, LLC
• Stacy Erin Dunson

• Mental Health Counselor in Junction City, OR
• Providers in Junction City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.