AMY MARIE DICKERSON (NPI# 1578074423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578074423 |
| Entity Type | Individual |
| Full Name | AMY MARIE DICKERSON |
| Credential | ATR |
| Practice Address |
1821 University Ave W Ste N385 Saint Paul MN 55104-2872 |
| Mailing Address |
506 Prairie Ln Hudson WI 54016-7040 |
| Practice Telephone | 6123267579 |
| Practice Fax Number | 6123267579 |
| Mailing Telephone | 6128050882 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 12-36 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1706 University Ave W, Saint Paul, MN 551043614 | 6516453661 | 6516453661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396186250 | Amy Elizabeth Dickerson | Marriage & Family Therapist | 1305 W Arrow Hwy Ste 206, San Dimas, CA 91773 | 2013-07-08 |
| 1376077156 | Amy Dickerson | Counselor | 15 Berkshire Rd, Sandy Hook, CT 06482-1361 | 2017-04-18 |
| Street Address |
1821 UNIVERSITY AVE W STE N385 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012685 | Leslie Anne Grossmann Brown | Social Worker | 1821 University Ave W Ste N385, Saint Paul, MN 55104 | 2008-08-06 |
| 1477171213 | Megan Schilling | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2020-07-08 |
| 1154941474 | Kevin A. Johnson | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2020-04-17 |
| 1114585932 | Malaurie Gray | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-06-05 |
| 1285290163 | Caroline Cruys | Social Worker | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-05-15 |
| 1518421874 | Mary A Clark | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-01-30 |
| 1710450176 | Richard Dale Markham | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-01-09 |
| 1679046106 | Trisha Mae Schrupp | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-01-08 |
| 1164995031 | Megan Laurel Boster | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-01-03 |
| 1093288987 | Lawrence Lowell Sedlacek | Counselor | 1821 University Ave W Ste N385, Saint Paul, MN 55104-2872 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801282173 | Art of Counseling, Pllc | Art Therapist | 275 4th St E Ste 301, Saint Paul, MN 55101-1771 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487864047 | Randy Finn | Art Therapist | Main Road, Red Lake, MN 56671-0427 | 2007-05-23 |
| 1215542048 | Rebecca Rae Urban | Art Therapist | 2448 18th Ave S, Minneapolis, MN 55404-4006 | 2020-09-09 |
| 1427670488 | Wind Wave Counseling LLC | Art Therapist | 2637 27th Ave S Ste 229, Minneapolis, MN 55406-3089 | 2020-05-13 |
| 1407064371 | Craig D. Balfany | Art Therapist | 2450 Riverside Ave, Unit 7ae, Minneapolis, MN 55454-1450 | 2007-05-21 |
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.