KATINA DICKSON (NPI# 1417573189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417573189 |
| Entity Type | Individual |
| Full Name | KATINA DICKSON |
| Credential | MA MATC QMHP-A |
| Practice Address |
999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 |
| Mailing Address |
1310 Columbia St Portsmouth VA 23704-4003 |
| Practice Telephone | 7577773454 |
| Mailing Telephone | 7573581359 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
D2005061525 | VA | Behavioral Health & Social Service Providers |
| Street Address |
999 WATERSIDE DR STE 2525 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235506387 | Jason Charles Evers | Family Medicine | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2015-08-25 |
| 1881293421 | Jamar Humphrey | Driver | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2020-10-24 |
| 1255945739 | Bluestone Physician Services Southeast LLC | General Practice | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2020-09-02 |
| 1194336313 | Lifephysician, LLC | Clinic/Center | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2020-08-11 |
| 1568094225 | A Chance for Change LLC | Counselor | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885366 | Transforming Hearts, LLC | Counselor | 900 Granby St Ste 242, Norfolk, VA 23510-2503 | 2019-01-22 |
| 1407331135 | Demeitrius M Whitehurst | Counselor | 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Ste 302, Norfolk, VA 23606-2360 | 2018-09-27 |
| 1114449162 | Second Start, LLC | Counselor | 1432 Baychester Ave Apt A4, Norfolk, VA 23503-2320 | 2017-07-12 |
| 1760807754 | Sara Heller | Counselor | 39 Grant St, Norfolk, CT 06058-1327 | 2014-02-27 |
| 1942634977 | Elizabeth Nicole Snow | Counselor | 6325 N Center Dr Ste 202, Norfolk, VA 23502-0019 | 2013-08-27 |
| 1255689527 | Andrea Danette Sutton | Counselor | 402 E Little Creek Rd, Norfolk, VA 23505-2714 | 2012-08-16 |
| 1609137108 | Kelly M Higgins | Counselor | 9515 Dulwich Cres, Norfolk, VA 23503-2850 | 2012-06-01 |
| 1386951499 | Stacy Richardson | Counselor | 521 Park Cres, Norfolk, VA 23511-4009 | 2010-09-10 |
| 1639342884 | Donald E Edwards | Counselor | 1001 W Norfolk Ave, Norfolk, NE 68701-5057 | 2008-04-09 |
| 1073707410 | Janice Gray | Counselor | 110 Kingsley Ln Ste 206, Norfolk, VA 23505-4616 | 2007-08-29 |
| Find all providers in NORFOLK | ||||
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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.