JEREMY W DICKSON MA, LPC
NPI 1295113694
Counselor in Springfield, MO

Q: What is Jeremy Dickson's NPI number?

The NPI number for Jeremy Dickson is 1295113694. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Jeremy Dickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Dickson was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 18, 2015

323 E GRAND ST, SPRINGFIELD, MO 65807(417) 761-5600(417) 761-5601 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2020, Mar 22, 2019, Jun 20, 2018 and 2 more (5 updates tracked since 2017).

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About Jeremy W Dickson Ma, Lpc NPPES

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

JEREMY W DICKSON MA, LPC (NPI 1295113694) is an individual counselor in Springfield, Missouri, licensed in Missouri (2015014046) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1295113694

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEREMY W DICKSONCredential: MA, LPC

Location Address323 E GRAND STSpringfield, MO 65807

Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5011

Phone(417) 761-5600

Fax(417) 761-5601

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateSeptember 14, 20205 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1295113694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2015014046

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

323 E GRAND ST, Springfield, MO 65807

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Other Identifiers 1

Medicaid490021929MO

Other Providers at the Same Location NPPES 15

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

SHAY DAVIS FNP

Nurse Practitioner (Family)