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MS. KYOUNG HI SONG DICKSON LMFT
NPI 1306134275
Marriage & Family Therapist in Bristol, CT

Active since July 13, 2011Opted out of Medicare · through Sep 26, 2026
38 KELLEY ST, BRISTOL, CT 06010(860) 314-1236(860) 314-1236 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kyoung Hi Song Dickson Lmft NPPES

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

MS. KYOUNG HI SONG DICKSON LMFT (NPI 1306134275) is an individual marriage & family therapist in Bristol, Connecticut, licensed in Connecticut (001459) and active in the NPI registry since July 2011. She has opted out of Medicare through September 26, 2026.

NPPES Registry Identity

NPI1306134275
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KYOUNG HI SONG DICKSONCredential: LMFT
Location Address38 KELLEY STBristol, CT 06010-5715
Mailing Address38 Kelley StreetBristol, CT 06107 · (860) 314-1236 · Fax (860) 314-1236
Phone(860) 314-1236
Fax(860) 314-1236
Sole ProprietorYes
Enumeration DateJuly 13, 2011
✔ NPI 1306134275 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 CT · 001459
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.
38 KELLEY ST, Bristol, CT 06010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kyoung Hi Song Dickson Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 26, 2024 through September 26, 2026.

Opt-Out Effective DateSeptember 26, 2024
Opt-Out In Effect ThroughSeptember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

MRS. HELEN PHYLLIS SKOVRAN I MS LMFT
Marriage & Family Therapist
38 KELLEY ST, THE FAMILY THERAPY CENTER
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-1236
VICTORIA PALAGY LLC
Marriage & Family Therapist
38 KELLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (917) 816-3163
THE FAMILY THERAPY CENTER LLC
Marriage & Family Therapist
38 KELLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-1236
GEORGIANNA SLOATE MS, LMFT
Marriage & Family Therapist
38 KELLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-1236
RENEWED MIND THERAPY
Social Worker (Clinical)
38 KELLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (203) 535-7350
CLAUDE GREENE JR. LCSW
Social Worker (Clinical)
38 KELLEY ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 314-1236

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 Kyoung Hi Dickson's NPI number?

The NPI number for Kyoung Hi Dickson is 1306134275. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Kyoung Hi Dickson located?

Kyoung Hi Dickson practices at 38 Kelley St, Bristol, CT 06010. The listed phone number is (860) 314-1236.

What is Kyoung Hi Dickson's specialty?

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

Is Kyoung Hi Dickson enrolled in Medicare?

No. Kyoung Hi Dickson has opted out of Medicare through September 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kyoung Hi Dickson accept?

Health plans from Providence Health Plan list Kyoung Hi 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 Kyoung Hi Dickson was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.