MARCUS DICKSON (NPI# 1417468273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417468273 |
| Entity Type | Individual |
| Full Name | MARCUS DICKSON |
| Practice Address |
1800 W Broadway Rd Ste 3 Tempe AZ 85282-1023 |
| Practice Telephone | 4805441120 |
| Mailing Telephone | 4805441120 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1800 W BROADWAY RD STE 3 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528560034 | Bridge Group Integrated Health Care Systems LLC | Technician | 1800 W Broadway Rd Ste 3, Tempe, AZ 85282-1023 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375030 | Crystal Marie Thomson | Counselor | 1405 E Guadalupe Rd Ste 3, Tempe, AZ 85283-3971 | 2020-10-26 |
| 1235781865 | Vince Toivo Mikkola | Counselor | 4700 S Mill Ave # B3, Tempe, AZ 85282-6736 | 2019-07-13 |
| 1205344611 | Meija Lynn Schreiner | Counselor | 4625 S Lakeshore Dr Ste 301, Tempe, AZ 85282-7127 | 2018-01-19 |
| 1063959526 | Courtney Glenny | Counselor | 3231 S Country Club Way Ste 111, Tempe, AZ 85282-4053 | 2017-01-23 |
| 1396128229 | 12 Steps for Christian Living | Counselor | 2111 E Baseline Rd Ste C8, Tempe, AZ 85283-1521 | 2015-07-09 |
| 1295086361 | Jennifer Martin | Counselor | 2120 S Mcclintock Dr Ste 105t, Tempe, AZ 85282-2692 | 2012-09-28 |
| 1265744353 | Carrie S Christiansen | Counselor | 1400 E. Southern Ave, Ste. 735, Tempe, AZ 85282-2692 | 2010-07-06 |
| 1922334978 | Ripp Rehab, Inc. | Counselor | 4645 S Lakeshore Dr, Suite 5, Tempe, AZ 85282-7151 | 2009-10-27 |
| 1972709566 | Catalina Behavioral Health Services | Counselor | 1500 N. Priest Drive, #104, Tempe, AZ 85281 | 2007-06-21 |
| 1407971070 | Frances Ann Harris | Counselor | 2131 E Broadway Rd, Suite 15, Tempe, AZ 85282-1737 | 2007-03-20 |
| Find all providers in TEMPE | ||||
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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.