Individual provider Active NPI

Lisa Dickinson

  • Mental Health Counselor
  • Middletown, DE
National Provider Identifier
1982190674
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0012099 Issued in DE
Practice address
118 Sandhill Dr Ste 202
Middletown, DE 19709-5863
Phone
(302) 674-2380
Fax
(302) 674-1299
NPI assigned
Jul 5, 2018
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0012099 DE
Mental Health Counselor 101YM0800X PC-0012099 DE Primary
Behavior Technician 106S00000X MD

Addresses

Primary practice location

118 Sandhill Dr Ste 202
Middletown, DE 19709-5863

Mailing address

156 S State St
Dover, DE 19901-7314
Phone (302) 674-2380

Other practice location 1

1151 Walker Rd # 542
Dover, DE 19904-6600
Phone (302) 751-2003

Other practice location 2

11 Riptide Ct
Frederica, DE 19946-2112
Phone (302) 751-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0012099DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind and Body Consortium, LLC. Professional PastSince Apr 9, 2024 Accepting new patients
Ocean Front Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1982190674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017314",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SANDHILL DR STE 202",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095863",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Walker Rd # 542",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046600",
            "country_code": "US",
            "telephone_number": "302-751-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Riptide Ct",
            "address_purpose": "LOCATION",
            "city": "Frederica",
            "state": "DE",
            "postal_code": "199462112",
            "country_code": "US",
            "telephone_number": "302-751-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0012099",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0012099",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.