Active NPIIndividual providerSole proprietor

Kimberly Dickenson, MA, LPC

Counselor, Professional in Tigard, Oregon

NPI Number1225559578
Practice location
7180 SW Fir Loop Ste 250, Tigard, OR 97223-8077
Fax
—
Last updated
November 28, 2023

Kimberly Dickenson is a Counselor, Professional based in Tigard, OR. Kimberly Dickenson practices in Tigard, OR and has the professional credentials of MA, LPC. The NPI Number for Kimberly Dickenson is 1225559578 and holds a License No. C5707 (OR). The current practice location address for Kimberly Dickenson is 7180 SW Fir Loop Ste 250, Tigard, OR 97223-8077 and can be reached out via phone at 503-860-9894.

Provider Profile Details

NPI Number
1225559578
Provider Name
Kimberly Dickenson
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Female
Address
7180 SW Fir Loop Ste 250, Tigard, OR 97223-8077
Phone Number
503-860-9894
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
June 27, 2017
Last Update Date
November 28, 2023
Certification Date
November 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
7180 SW Fir Loop Ste 250
Tigard, OR 97223-8077
City
Tigard
State
Oregon
Zip
97223-8077
Phone Number
503-860-9894
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
7180 SW Fir Loop Ste 250
Tigard, OR 97223-8077
City
Tigard
State
OR
Zip
97223-8077
Phone Number
503-860-9894

License Information

License Number
C5707
License State
OR
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Dickenson, MA, LPC?

The NPI number of Kimberly Dickenson, MA, LPC is 1225559578. It was assigned on June 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Kimberly Dickenson, MA, LPC?

Kimberly Dickenson, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C5707.

Where does Kimberly Dickenson, MA, LPC practice?

The practice location is 7180 SW Fir Loop Ste 250, Tigard, OR 97223-8077. The office can be reached at 503-860-9894 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225559578 directly on the NPPES registry website.

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