Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JASMYNE RUSSELL-DICKER CPPS
NPI 1093641912
Peer Specialist in Fayetteville, NC

Active since June 18, 2026
214 FAIRWAY DR, FAYETTEVILLE, NC 28305(910) 729-9867 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmyne Russell-dicker Cpps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMYNE RUSSELL-DICKER CPPS (NPI 1093641912) is an individual peer specialist in Fayetteville, North Carolina, licensed in North Carolina (2024-1165201) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093641912
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJASMYNE RUSSELL-DICKERCredential: CPPS
Location Address214 FAIRWAY DRFayetteville, NC 28305-5502
Mailing Address214 Fairway DrFayetteville, NC 28305-5502 · (910) 729-9867
Sole ProprietorYes
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1093641912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NC · 2024-1165201
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
214 FAIRWAY DR, Fayetteville, NC 28305

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
214 FAIRWAY DR
FAYETTEVILLE, NC 28305
Counselor (Mental Health)
214 FAIRWAY DR
FAYETTEVILLE, NC 28305
Counselor (Professional)
214 FAIRWAY DR
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
214 FAIRWAY DR
FAYETTEVILLE, NC 28305
Case Manager/Care Coordinator
214 FAIRWAY DR
FAYETTEVILLE, NC 28305

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 Jasmyne Russell-dicker's NPI number?

The NPI number for Jasmyne Russell-dicker is 1093641912. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Where is Jasmyne Russell-dicker located?

Jasmyne Russell-dicker practices at 214 Fairway Dr, Fayetteville, NC 28305. The listed phone number is (910) 729-9867.

What is Jasmyne Russell-dicker's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jasmyne Russell-dicker was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.