Active NPI
Coral Dickinson, LPCC
- Counselor
- Carmichael, CA
National Provider Identifier
1861236069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14767
- Practice address
- 4708 Good CT
Carmichael, CA 95608-3104 - Phone
- (916) 505-3660
- NPI assigned
- Jun 21, 2024
- Last updated
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14767 | CA | Primary |
Addresses
Primary practice location
4708 Good CT
Carmichael, CA 95608-3104
Mailing address
4708 Good CT
Carmichael, CA 95608-3104
Phone (916) 505-3660
Other practice location 1
5330A Gibbons Dr Ste 700
Carmichael, CA 95608-2117
Phone (916) 505-3660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14767 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1861236069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 GOOD CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083104",
"telephone_number": "916-505-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 GOOD CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083104",
"telephone_number": "916-505-3660"
}
],
"practiceLocations": [
{
"address_1": "5330A Gibbons Dr Ste 700",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956082117",
"country_code": "US",
"telephone_number": "916-505-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKINSON",
"first_name": "CORAL",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "14767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
- Jasmine Dhillon, PHARMD
- Sunil Dhir, M.D.
- Jacqueline Delphine Di Giacomo
- Albert Daniel Diamond
- Marisa Lee Dickfoss
- Christian Jeremiah Digap
- Dignity Health (Mercy San Juan Medical Center)
- Dignity Health Medical Foundation (Mercy Imaging Centers, a service of Dignity Health Medical Foundation)
- Tambralane Dill, COTA
- Michael Richard Dittrich, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.