Brandon Dickens, M.S., NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A10004 Issued in NC

Practice address

1209 E Garrison Blvd
Gastonia, NC 28054-5115

Phone

(704) 864-6573

Fax

(704) 864-9791

NPI assigned

Sep 9, 2013

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1871928879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 FARTHINGTON CIR",
            "address_2": "APT. 1C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172979",
            "telephone_number": "336-580-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545115",
            "telephone_number": "704-864-6573",
            "fax_number": "704-864-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "M.S., NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Diaz
• Hayley Savannah Diaz, PT, DPT
• Larissa Ann Dibella, D.C.
• Dibert & Nutt MD PA
• Steven Wesley Dibert, MD
• Doug Dickens, NCFBPPC
• Chad Jarrett Dickerson, DMD
• Leisa Renn'Ee Dickey-Monroe, OT
• Ashtin Kasey Dicochea, LCSW
• Lana Dicostanzo

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.