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
- 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
- Code Navigator
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 |
---|---|---|---|
38-3876389 | MEDICAID (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. | |||||||||
1 | 3 | 3 | 6 | 7 | 9 | 0 | 7 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 14 | 9 | 0 | 7 | 2 | |
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 = 6 | 6 |
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
KIMBERLY SCHARFF LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
LUVENIA M SIMMONS LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
SUSAN WARD LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
EMILY SANDER LGPC
Counselor
(Mental Health)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
KAITLYN ST. PETER LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
AMANDA BATES LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
BRIANNE NOLAN LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
REBECCA NINER LGPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
KATHERINE HEINES LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
DANIELLE JONES LMSW
Social Worker
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
BRENDA ROSENCRANTZ LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
SHARONDA SAUNDERS LMSW
Social Worker
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
ANGELA B. VELEZ LPC, LCPC, NCC
Counselor
(Mental Health)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
CLAUDINE STEBLER MOOTY LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
ERIN K OCZKOWSKI LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
MARKEITA MATTHEWS LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
NANCY WIKES LCSW-C
Social Worker
(Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
RENATA M POWELL LCPC
Counselor
(Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD
ZIP 21108
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.