MR. DALE PICKETT III MS, NCC
NPI 1053933549
Counselor - Mental Health in Broadway, VA
About Mr. Dale Pickett Iii Ms, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALE PICKETT III MS, NCC (NPI 1053933549) is an individual mental health provider in Broadway, Virginia, licensed in Virginia (0704011496) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Dale Pickett Iii Ms, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dale Pickett's NPI number?
The NPI number for Dale Pickett is 1053933549. It was assigned to this individual provider in the NPPES registry on May 7, 2020.
Where is Dale Pickett located?
Dale Pickett practices at 333 Windermere Dr, Broadway, VA 22815. The listed phone number is (540) 333-4728.
What is Dale Pickett's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Dale Pickett enrolled in Medicare?
Yes. Dale Pickett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Dale Pickett was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Dale Pickett III, MS, NCC · NPI 1053933549
Mental Health provider in Broadway, Virginia. Individual provider, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1053933549 (Entity type: Individual)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0704011496 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 WINDERMERE DR, Broadway, VA 22815-9489
- **Phone:** (540) 333-4728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053933549) · Data from the CMS NPPES public registry.