DEREK JAMES DICKSON LPCC
NPI 1174053052
Counselor - Mental Health in Shaker Heights, OH
About Derek James Dickson Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK JAMES DICKSON LPCC (NPI 1174053052) is an individual mental health provider in Shaker Heights, Ohio, licensed in Ohio (E.2001801-SUPV) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek James Dickson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derek Dickson's NPI number?
The NPI number for Derek Dickson is 1174053052. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is Derek Dickson located?
Derek Dickson practices at 22001 Fairmount Blvd, Shaker Heights, OH 44118. The listed phone number is (216) 932-2800.
What is Derek Dickson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Derek Dickson enrolled in Medicare?
Yes. Derek Dickson is registered in the Medicare PECOS enrollment system.
What insurance does Derek Dickson accept?
Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Derek Dickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Derek Dickson was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Derek James Dickson, LPCC · NPI 1174053052
Mental Health provider in Shaker Heights, Ohio. Individual provider, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1174053052 (Entity type: Individual)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** E.2001801-SUPV (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 22001 FAIRMOUNT BLVD, Shaker Heights, OH 44118-4819
- **Phone:** (216) 932-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174053052) · Data from the CMS NPPES public registry.