Jordan Dimmick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013766 Issued in VA

Practice address

2541 Layne St
Farmville, VA 23901-2667

Phone

(804) 387-1050

NPI assigned

Jul 11, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

Practice addresses (Care Compare)

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.

• Resilience Counseling & Social Skills Center LLC

  dba Resilience Counseling & Social Skills Center

  • Professional Counselor
  • Midlothian, VA
  • NPI 1245724707
  Medicare reassignment Care Compare group
• Calming Wind Counseling Services, LLC

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1629613484
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1972340511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 LAYNE ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 LAYNE ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012667",
            "telephone_number": "804-387-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMICK",
        "first_name": "JORDAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Davis, FNP-BC
• Katherine Deaton, OTR
• Gail B Delaporte, LPTA
• Megan Demaline, LPC
• Jennifer Kelsey Dickson, LPC
• John Dimock, M.D.
• Teresita Capati Dionisio, M.D.
• Discovery Counseling
• Kwabena A Donkor, MD,FCCP.MPH&TM
• Amanda Louise Doss

• Professional Counselor in Farmville, VA
• Providers in Farmville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.