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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAWAN ANGEL DICKERSON-ESCOBAR LMHC, NCC, CAP
NPI 1366109936
Counselor - Mental Health in Orlando, FL

Active since November 18, 2021
4150 EASTGATE DR APT 5404, ORLANDO, FL 32839(407) 205-4397 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Jul 24, 2026, Dec 16, 2024 and 1 more (4 updates tracked since 2021).

About Mr. Jawan Angel Dickerson-escobar Lmhc, Ncc, Cap NPPES

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

MR. JAWAN ANGEL DICKERSON-ESCOBAR LMHC, NCC, CAP (NPI 1366109936) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH28040) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1366109936
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JAWAN ANGEL DICKERSON-ESCOBARCredential: LMHC, NCC, CAP
Location Address4150 EASTGATE DR APT 5404Orlando, FL 32839-5224
Mailing Address4530 S Orange Blossom TrlOrlando, FL 32839-1704 · (407) 205-4397
Phone(407) 205-4397
Sole ProprietorYes
Enumeration DateNovember 18, 2021
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1366109936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH28040✔ Licensed in SC · 12299
4150 EASTGATE DR APT 5404, Orlando, FL 32839
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Other Providers at the Same Location NPPES

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

SOLACE & SAGE COUNSELING & CONSULTING SERVICES, LLC.
Counselor (Mental Health)
4150 EASTGATE DR APT 5404
ORLANDO, FL 32839
Orange County (407) 205-4397

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 Jawan Dickerson-escobar's NPI number?

The NPI number for Jawan Dickerson-escobar is 1366109936. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Jawan Dickerson-escobar located?

Jawan Dickerson-escobar practices at 4150 Eastgate Dr Apt 5404, Orlando, FL 32839. The listed phone number is (407) 205-4397.

What is Jawan Dickerson-escobar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jawan Dickerson-escobar was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.