ANDREA D DICKERSON (NPI# 1972652683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972652683 |
| Entity Type | Individual |
| Full Name | ANDREA D DICKERSON |
| Credential | IADC, LMFT |
| Practice Address |
804 Kellogg Ave Ames IA 50010-6234 |
| Mailing Address |
50 N Eisenhower Ave Mason City IA 50401-7340 |
| Practice Telephone | 5152334930 |
| Mailing Telephone | 5152334930 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00112 | IA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 415 | IA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 804 Kellogg Ave, Ames, IA 500106234 | 5152334930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366679813 | Andrea Lyn Dickerson | Licensed Practical Nurse | 1869 Union St, Lancaster, OH 43130-4198 | 2009-06-11 |
| 1255323176 | Andrea Karen Dickerson | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304-3688 | 2005-08-17 |
| Street Address |
804 KELLOGG AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236998 | Andrea Foreman | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2020-02-07 |
| 1336669860 | Nicole Marie Cardarella | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2017-06-26 |
| 1386172161 | Christina Hillman | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2017-05-24 |
| 1104354984 | Shaquille Grant Jr. | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2017-05-24 |
| 1619392040 | Ashley Honts | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2014-02-21 |
| 1700139920 | Leslie Renae Olson | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2012-10-25 |
| 1255563615 | Kaleena Charisse Johnson | Counselor | 804 Kellogg Ave, Ames, IA 50010 | 2009-08-19 |
| 1396937678 | Mike Frohwein | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2007-08-10 |
| 1609089820 | Kimberly Nicole Rezarch | Social Worker | 804 Kellogg Ave, Youth Recovery House, Ames, IA 50010-6234 | 2007-05-07 |
| 1285773861 | Sonja Ann Frette | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| 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 |
|---|---|---|---|---|
| 1952783128 | Ronald C Stubbs II | Marriage & Family Therapist | 600 5th St Ste 304, Ames, IA 50010-6072 | 2015-06-24 |
| 1366880122 | Kevin John Zimmerman | Marriage & Family Therapist | 1525 Airport Rd Ste 101, Ames, IA 50010-8231 | 2013-06-13 |
| 1902002926 | Megan J Murphy | Marriage & Family Therapist | 4380 Palmer, Ames, IA 50011-4380 | 2007-06-26 |
| 1720109572 | Diana Deva Prizgintas | Marriage & Family Therapist | 125 S 3rd St Ste 200, Ames, IA 50010-7042 | 2007-04-02 |
| 1831135904 | Heart To Heart Communication, L.c. | Marriage & Family Therapist | 319 Lincoln Way, Ames, IA 50010-3309 | 2006-06-20 |
| 1134669104 | Juliette Riancho | Marriage & Family Therapist | 420 Kellogg Ave, Ames, IA 50010-6226 | 2017-02-24 |
| 1013344662 | Marie Elizabeth Mccuskey | Marriage & Family Therapist | 420 Kellogg Ave, Ames, IA 50010-6226 | 2013-09-27 |
| 1073867065 | Krystyna Pauline Thompson | Marriage & Family Therapist | 1619 S High Ave, Ames, IA 50010-8055 | 2012-10-30 |
| 1376819953 | Kelly Dianne Newgaard | Marriage & Family Therapist | 125 S 3rd St, Ames, IA 50010-7042 | 2012-03-28 |
| 1386918357 | Katie Jo Smith | Marriage & Family Therapist | 125 S 3rd St, Ames, IA 50010-7042 | 2012-03-08 |
| Find all providers in AMES | ||||
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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.