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DANIELLE DICKERSON
NPI 1184553786
Marriage & Family Therapist in Los Angeles, CA

Active since May 18, 2026PECOS Enrolled
1019 GAYLEY AVE FL 2, LOS ANGELES, CA 90024(424) 273-8900 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, May 18, 2026 (2 updates tracked since 2026).

About Danielle Dickerson NPPES

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

DANIELLE DICKERSON (NPI 1184553786) is an individual marriage & family therapist in Los Angeles, California, licensed in California (163461) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184553786
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDANIELLE DICKERSON
Location Address1019 GAYLEY AVE FL 2Los Angeles, CA 90024-3437
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Phone(424) 273-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1184553786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 163461
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1019 GAYLEY AVE FL 2, Los Angeles, CA 90024
Open in Google Maps ↗

Secondary Practice Location 1

Location 11455 W Redondo Beach Blvd Unit 2681Gardena, CA 90247-6541 · Phone (310) 749-9483

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Dickerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486119955
PECOS Enrollment IDI20260724002370
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Danielle Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark David Levine, MD Fresno
204 mi
Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1124387097 (559) 490-2067

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ERIN O'BRIEN LMFT
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (855) 501-1004
BROOKE ASHLEY BARKER LMFT
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900
DR. BRIANNA AUBREY STURMER DNP
Nurse Practitioner (Psychiatric/Mental Health)
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900
JACOB BENJAMIN ROSEWATER
Psychiatry & Neurology (Psychiatry)
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900
ACACIA PSYCHOLOGICAL CORPORATION
Psychologist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (888) 699-4873
AMY SNYDER
Psychologist (Clinical)
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900
ALEXA AVERSANO LMFT
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900
GHAZAL LOVELY ABBAS LMFT
Marriage & Family Therapist
1019 GAYLEY AVE FL 2
LOS ANGELES, CA 90024
Los Angeles County (424) 273-8900

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 Danielle Dickerson's NPI number?

The NPI number for Danielle Dickerson is 1184553786. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Danielle Dickerson located?

Danielle Dickerson practices at 1019 Gayley Ave Fl 2, Los Angeles, CA 90024. The listed phone number is (424) 273-8900.

What is Danielle Dickerson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Danielle Dickerson enrolled in Medicare?

Yes. Danielle Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Dickerson reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Dickerson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.