KATHY DICKSON NPI 1063555092

NPI Information

  • NPI: 1063555092
  • Provider Name: KATHY DICKSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 126 LITHIA PINECREST RD
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 689-8828

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NPI Details

Kathy Dickson is a mental health counselor in Brandon, FL. Kathy Dickson NPI is 1063555092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

126 LITHIA PINECREST RD
BRANDON, FL
ZIP 33511-347
Phone: (813) 689-8828

The enumeration date for this NPI number is 2/15/2007 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1767111300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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