Lance F. Dickison, LPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

#3005 Issued in OK

Practice address

463 SW 579 Loop
BLDG. 'B'
Chouteau, OK 74337

Phone

(918) 476-0501

Fax

(918) 207-3064

NPI assigned

Jun 16, 2007

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Services of Green Country

  • Mental Health Counselor
  • Chouteau, OK
  • NPI 1598060675
  NPD (past) Authorized official

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1952506370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SW 579 LOOP",
            "address_2": "BLDG. 'B'",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "74337",
            "telephone_number": "918-476-0501",
            "fax_number": "918-207-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SW 579 LOOP",
            "address_2": "BLDG. 'B'",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "74337",
            "telephone_number": "918-476-0501",
            "fax_number": "918-207-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKISON",
        "first_name": "LANCE",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LPC NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3005",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "#3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chouteau Family Pharmacy, LLC (Chouteau Family Pharmacy)
• Chouteau-Mazie
• Colonial Care Center, LLC (Meadowbrook Nursing Center)
• Brenda Alice Cunningham, MSW, LCSW
• Johnny Daryel Cunningham, LCSW
• Bradley Alan Duplantis, B.S., ATC
• Robert E Fox Jr., D.O.
• Grand Lake Mental Health Center, Inc (GRAND Mental Health)
• Grand Lake Mental Health Center, Inc. (GRAND Mental Health)
• Grand Lake Mental Health Center, Inc. (Grand Mental Health)

• Professional Counselor in Chouteau, OK
• Providers in Chouteau, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.