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NICOLE DICKERSON
NPI 1184407629
Peer Specialist in Lincoln City, OR

Active since August 17, 2023
1345 NW 15TH ST, LINCOLN CITY, OR 97367(541) 574-9570(541) 574-8857 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Dickerson NPPES

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

NICOLE DICKERSON (NPI 1184407629) is an individual peer specialist in Lincoln City, Oregon, licensed in Oregon (22-CRM-1313) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1184407629
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE DICKERSON
Location Address1345 NW 15TH STLincoln City, OR 97367-3327
Mailing AddressPo Box 1538Newport, OR 97365-0115 · (541) 574-9570 · Fax (541) 574-8857
Phone(541) 574-9570
Fax(541) 574-8857
Sole ProprietorNo
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1184407629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 22-CRM-1313
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.
1345 NW 15TH ST, Lincoln City, OR 97367
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Other Providers at the Same Location NPPES 3

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

TIMOTHY RASH
Counselor (Addiction (Substance Use Disorder))
1345 NW 15TH ST
LINCOLN CITY, OR 97367
Lincoln County (541) 574-9570
YEVETTE WRIGHT
Peer Specialist
1345 NW 15TH ST
LINCOLN CITY, OR 97367
Lincoln County (541) 574-9570
MR. DAVID M JOHNSON CADC I
Specialist
1345 NW 15TH ST
LINCOLN CITY, OR 97367
Lincoln County (541) 574-9570

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 Nicole Dickerson's NPI number?

The NPI number for Nicole Dickerson is 1184407629. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Nicole Dickerson located?

Nicole Dickerson practices at 1345 NW 15th St, Lincoln City, OR 97367. The listed phone number is (541) 574-9570.

What is Nicole Dickerson'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 Nicole Dickerson was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.