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BENJAIN PATRICK DICKERSON
NPI 1376417469
Counselor - Professional in Glendale, AZ

Active since October 01, 2025
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308(602) 697-5485 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjain Patrick Dickerson NPPES

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

BENJAIN PATRICK DICKERSON (NPI 1376417469) is an individual professional provider in Glendale, Arizona, licensed in Arizona (LAC-22436) and active in the NPI registry since October 2025. He maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1376417469
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBENJAIN PATRICK DICKERSON
Location Address21448 N 75TH AVE STE 6Glendale, AZ 85308-5978
Mailing Address211 E Mail Trail RdYoung, AZ 85554-0689 · (602) 697-5485
Phone(602) 697-5485
Sole ProprietorYes
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1376417469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LAC-22436
21448 N 75TH AVE STE 6, Glendale, AZ 85308
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Other Names 1

Professional Name (2)Ben P Dickerson

Secondary Practice Location 1

Location 18700 E Vista Bonita Dr Ste 236Scottsdale, AZ 85255-3202 · Phone (602) 697-5485

Other Providers at the Same Location NPPES 11

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

MATTHEW GREENE (M.S.)
Counselor (Mental Health)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (623) 638-0138
JESSICA TRACY LAC
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (940) 631-2629
DR. PATRICIA O KIRBY M.D.
Psychiatry & Neurology (Psychiatry)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (623) 251-6926
LISA H DAVIS
Counselor
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (623) 572-8053
ROBIN JOY BOSSE
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (602) 451-0832
ASHLEY HORASKI LPC
Counselor (Professional)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (602) 558-2421
REBECCA SISNEROS
Counselor (Mental Health)
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (602) 620-2874
CRISTINA M CUMMINGS MS, LAC
Counselor
21448 N 75TH AVE STE 6
GLENDALE, AZ 85308
Maricopa County (623) 221-9785

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 Benjain Dickerson's NPI number?

The NPI number for Benjain Dickerson is 1376417469. It was assigned to this individual provider in the NPPES registry on October 1, 2025. The provider is also known as Ben P Dickerson.

Where is Benjain Dickerson located?

Benjain Dickerson practices at 21448 N 75th Ave Ste 6, Glendale, AZ 85308. The listed phone number is (602) 697-5485.

What is Benjain Dickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Benjain Dickerson was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.