Look up the most recent NPI and PECOS records

Kathy Dickson

Counselor

Behavioral Health & Social Service Providers

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

PECOS Enrollment

Based on the most recent information from CMS, provider Kathy Dickson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1063555092
Provider Type
Individual
Full Name
Dickson, Kathy
Gender
Female

Sole Proprietor
No
Enumeration Date
2/15/2007
Last Updated
6/28/2022

Contact Information

Practice Location

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

(813) 689-8828

Unlisted Fax

Mailing Location

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 767111300	Description Medicaid	Issuer Unlisted Florida

Kathy Dickson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Roberts, Diane Elizabeth

Murgasen, Amrita

Vita Serenity Counseling Llc

Trenker, Brittany Lynn

Rima, Priscilla

Gilley, Sandra Gail

Fahringer, Marie L.

Gunn, Jan Maria

Hardison, Edwin Costin

Nonclerc, Nicole