MR. AL DICKERSON (NPI# 1174049720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174049720 |
| Entity Type | Individual |
| Full Name | MR. AL DICKERSON |
| Credential | ASSOC |
| Practice Address |
815 S Pearl St Tacoma WA 98465-2117 |
| Mailing Address |
1709 S G St Apt 106 Tacoma WA 98405-5104 |
| Practice Telephone | 2533965937 |
| Mailing Telephone | 2537338748 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
| Street Address |
815 S PEARL ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98465-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104006899 | James Key | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-09 |
| 1184224750 | Laura Davis | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-10-31 |
| 1205436961 | Sydney Ann Horen | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-10-30 |
| 1184234015 | Helena D Foster | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-08-05 |
| 1538786975 | Abigail Samantha Rees | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-07-01 |
| 1386265338 | Autumn Fiore | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-04-30 |
| 1013537414 | Caroline Jennifer Wheeler | Registered Nurse | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-04-26 |
| 1558990184 | Rian Jean Reed | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-04-06 |
| 1366070922 | Brooklyn Paige Haro | Counselor | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-03-30 |
| 1114552148 | Peter K Muigai | Registered Nurse | 815 S Pearl St, Tacoma, WA 98465-2117 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
| 1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
| 1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
| 1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
| 1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
| 1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
| 1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
| 1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
| Find all providers in TACOMA | ||||
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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.