MR. NATHAN DICKERSON JR. LCPC
NPI 1336790716
Counselor - Professional in Millersville, MD

NPI Status: Active since September 26, 2019

Contact Information

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
Phone: (410) 768-6088
Fax: (410) 768-6444

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  • Individual
  • Male
  • Years of Experience 7
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATHAN DICKERSON

This page provides the complete NPI Profile along with additional information for Nathan Dickerson, a provider established in Millersville, Maryland with a medical specialization in Counselor, focusing in professional and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1336790716 assigned on September 2019. The practitioner's primary taxonomy code is 101YP2500X with license number LC13079 (MD). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1336790716
Provider Name
MR. NATHAN DICKERSON JR. LCPC
Gender
Male
Entity Type
Individual
Location Address
8258 VETERANS HWY STE 13 MILLERSVILLE, MD 21108
Location Phone
(410) 768-6088
Location Fax
(410) 768-6444
Mailing Address
PO BOX 675366 DETROIT, MI 48267
Mailing Phone
(410) 757-2077
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
09-26-2019
Last Update Date
06-16-2025
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Location Map

Secondary Locations

  • 5550 Friendship Blvd Ste 590
    Chevy Chase, MD 20815
    (410) 757-2077

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LC13079
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
38-3876389MEDICAID (05)MD 

Medicare Participation & PECOS Enrollment Status

Nathan Dickerson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nathan Dickerson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779936430

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240129004261, I20240806000007

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. NATHAN DICKERSON JR. LCPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336790716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366149072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 9 + 0 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336790716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

ERIN MANNION LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

KIMBERLY SCHARFF LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

LUVENIA M SIMMONS LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

SUSAN WARD LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

EMILY SANDER LGPC

Counselor

(Mental Health)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

KAITLYN ST. PETER LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

AMANDA BATES LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

BRIANNE NOLAN LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

REBECCA NINER LGPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

KATHERINE HEINES LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

DANIELLE JONES LMSW

Social Worker

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

BRENDA ROSENCRANTZ LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

SHARONDA SAUNDERS LMSW

Social Worker

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

ANGELA B. VELEZ LPC, LCPC, NCC

Counselor

(Mental Health)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

CLAUDINE STEBLER MOOTY LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

ERIN K OCZKOWSKI LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

MARKEITA MATTHEWS LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

NANCY WIKES LCSW-C

Social Worker

(Clinical)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

RENATA M POWELL LCPC

Counselor

(Professional)

8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108

(410) 768-6088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336790716, enumerated as an "individual" on September 26, 2019.

The provider is located at 8258 VETERANS HWY STE 13 MILLERSVILLE, MD 21108 and the phone number is (410) 768-6088.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.