Lisa Dickinson
Individual provider Active NPI Mental Health Counselor · Middletown, DE
NPI 1982190674 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1982190674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC-0012099 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind and Body Consortium, LLC. | Professional | Past |
Accepting new patients |
| Ocean Front Counseling | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC-0012099 | DE | |
| Mental Health Counselor | 101YM0800X | PC-0012099 | DE | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 483106300 | Medicaid | MD |
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- Kassidy Diaz
- Dih Camp
- Divine Alignment Counseling & Coaching LLC
- Lorna A Divino
- Cameron Dixon
- Janice Dixon
All providers in Middletown, DE · Mental Health Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.