Augustus C. Dickens

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC6378 Issued in MD

Legal business name

AUGUSTUS C. DICKENS

Practice address

9811 Mallard Dr
Laurel, MD 20708-3143

Phone

(301) 257-1430

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Augustus Chadwyck Dickens I, LCPC

Title

License Clinical Professional Coun

Phone

(301) 257-1430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434240000000",
    "number": "1851772032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 WINTER PINE TRL",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441506",
            "telephone_number": "301-257-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-257-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS C. DICKENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-06-14",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_middle_name": "CHADWYCK",
        "authorized_official_title_or_position": "LICENSE CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "301-257-1430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; 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.