JAY DICKINSON MA LPC NPI 1619095163

NPI Information

  • NPI: 1619095163
  • Provider Name: JAY DICKINSON, MA, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 S 17TH ST STE 1010
    PHILADELPHIA, PA
    ZIP 19103
  • Phone: (610) 892-3800

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NPI Details

Jay Dickinson, MA, LPC is a professional counselor in Philadelphia, PA with 21 years of experience. Jay Dickinson, MA, LPC NPI is 1619095163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 S 17TH ST STE 1010
PHILADELPHIA, PA
ZIP 19103-210
Phone: (610) 892-3800
Fax: (484) 468-1412

The NPI 1619095163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/2/2024.

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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalPC004833PENNSYLVANIAYes

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: 11/21/2025

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