ARDELLE DICKINSON (NPI# 1609384924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609384924 |
| Entity Type | Individual |
| Full Name | ARDELLE DICKINSON |
| Practice Address |
1815 Mccallie Ave Chattanooga TN 37404-3026 |
| Practice Telephone | 4237562894 |
| Practice Fax Number | 4237562899 |
| Mailing Telephone | 4237562894 |
| Mailing Fax Number | 4237562899 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC2848 | TN | Behavioral Health & Social Service Providers |
| Street Address |
1815 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851381271 | Stephen Paul Bradshaw | Psychologist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2005-10-26 |
| 1205433554 | Megan Grant | Counselor | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2020-10-08 |
| 1679046999 | Elizabeth G Lamberson | Social Worker | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2019-01-09 |
| 1619454683 | Gordon Nathan Sharp | Marriage & Family Therapist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2018-07-23 |
| 1063908986 | Amy Perkins | Psychologist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2018-07-03 |
| 1477068088 | Amy Coxwell | Marriage & Family Therapist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2017-12-05 |
| 1285172809 | John Armstrong | Counselor | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2017-02-02 |
| 1922545185 | Kellie Currin | Marriage & Family Therapist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2017-01-26 |
| 1750823126 | Michelle Shelley | Marriage & Family Therapist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2016-11-16 |
| 1831631886 | Jennifer Davis | Counselor | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
| 1578065322 | Sasha Self | Counselor | 2100 Chapman Rd Ste 115, Chattanooga, TN 37421-1646 | 2018-03-07 |
| 1497256150 | Brian Clinton | Counselor | 5613 Tennessee Ave, Chattanooga, TN 37409-2331 | 2018-02-27 |
| 1114463353 | Christopher Harris | Counselor | 7429 Shallowford Rd, Chattanooga, TN 37421-2629 | 2017-01-11 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1437518206 | Kristin Smith | Counselor | 3810 Lamar Ave, Chattanooga, TN 37415-4006 | 2016-02-22 |
| 1265831499 | Eric Ralston | Counselor | 8213 Igou Gap Rd, Chattanooga, TN 37421-2708 | 2014-08-13 |
| 1609210624 | William Knowles Dwyer | Counselor | 301 Belvoir Ave, Chattanooga, TN 37411-5104 | 2013-04-21 |
| 1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
| 1225308000 | Juliet Nicole Thomas | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2012-01-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on ARDELLE DICKINSON.
| 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.