KYLE SCOTT DICKERSON (NPI# 1366743346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366743346 |
| Entity Type | Individual |
| Full Name | KYLE SCOTT DICKERSON |
| Practice Address |
15095 Amargosa Rd Ste 201 Victorville CA 92394-1875 |
| Mailing Address |
Po Box 7660 Norco CA 92860-8089 |
| Practice Telephone | 7602454695 |
| Mailing Telephone | 7605967038 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2019-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 203128 | TX | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 82938 | CA | Behavioral Health & Social Service Providers |
| Street Address |
15095 AMARGOSA RD STE 201 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783672 | Ellen-ruby S. Santos | Counselor | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1868 | 2008-09-23 |
| 1245838978 | Kimberly Millet | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-14 |
| 1588262216 | John David Segura | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-14 |
| 1972101863 | Sarah Ashley Diaz | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-13 |
| 1912565003 | Melody Lynn Booth | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2019-06-03 |
| 1942779533 | Argelia Amador | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-11-13 |
| 1205326469 | Willie Renee Horenburg | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-05-14 |
| 1144721408 | Victor J Gutierrez | Case Manager/Care Coordinator | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-02-22 |
| 1528571114 | Elnora Moree Thompson | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2017-11-06 |
| 1659894004 | Kimberly Renee Thompson | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
| Find all providers in zip 92394 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514258 | Sophia Nana Akyeampong | Marriage & Family Therapist | 14344 Cajon Ave Ste 101, Victorville, CA 92392-4301 | 2019-05-28 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1679071450 | David A Vest | Marriage & Family Therapist | 15415 Anacapa Rd # 7, Victorville, CA 92392-2463 | 2018-01-26 |
| 1003345281 | Angela Marie Rincon | Marriage & Family Therapist | 15095 Amargosa Rd Ste 205, Victorville, CA 92394-1879 | 2017-06-09 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1679025308 | Syreeta Green | Marriage & Family Therapist | 15437 Anacapa Rd Ste 23, Victorville, CA 92392-2458 | 2016-10-28 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1497173553 | Blaine Witte | Marriage & Family Therapist | 15437 Anacapa Rd, Victorville, CA 92392-2458 | 2014-04-04 |
| 1316385339 | Cecelia Marzullo | Marriage & Family Therapist | 16552 Sunhill Dr, Victorville, CA 92395-4518 | 2013-06-12 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.