KRISTIN D DICKIE (NPI# 1376846915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376846915 |
| Entity Type | Individual |
| Full Name | KRISTIN D DICKIE |
| Credential | L.P.C. |
| Practice Address |
3303 Latrobe Dr Charlotte NC 28211-4851 |
| Practice Telephone | 7043622663 |
| Practice Fax Number | 7043622836 |
| Mailing Telephone | 7043622663 |
| Mailing Fax Number | 7043622836 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7649 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3303 LATROBE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073572087 | Marcus Pelucio | Psychiatry & Neurology | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2006-03-20 |
| 1114560794 | Kimberley Koontz | Nurse Practitioner | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2019-10-25 |
| 1174046767 | Leslie Chandler Perry | Nurse Practitioner | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2017-07-25 |
| 1699058743 | Sally Ann Rogers | Counselor | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2011-09-26 |
| 1881986842 | Michele Lyn Carol-mannering | Psychologist | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2011-05-10 |
| 1972894210 | Tiffany Cherlene Henry | Counselor | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2011-04-20 |
| 1306157888 | Charlotte Psychological Assessment II Pa | Psychologist | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2010-06-29 |
| 1497075139 | Joseph Daniel Pope | Counselor | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2010-06-04 |
| 1770719817 | Valerie E Glass | Nurse Practitioner | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2009-06-03 |
| 1437236486 | Erin Kathleen Taylor | Psychologist | 3303 Latrobe Dr, Charlotte, NC 28211-4851 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.