Active NPI
Darren Dickens, LPC
- Professional Counselor
- Laurel, MS
National Provider Identifier
1912337254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1621
- Practice address
- 409 W Oak St
Suite 401a
Laurel, MS 39440-3948 - Phone
- (601) 837-1634
- NPI assigned
- Nov 22, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1621 | MS | Primary |
Addresses
Primary practice location
409 W Oak St
Suite 401a
Laurel, MS 39440-3948
Mailing address
1631 Sherwood Dr
Laurel, MS 39440-1011
Phone (601) 422-3278
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 |
|---|---|---|---|
| 1621 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rankin Baptist Association | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Pearl, MS
- NPI 1114962560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1912337254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 SHERWOOD DR",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401011",
"telephone_number": "601-422-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W OAK ST",
"address_2": "SUITE 401A",
"city": "LAUREL",
"state": "MS",
"postal_code": "394403948",
"telephone_number": "601-837-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "DARREN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.