1. Home
  2. Directory
  3. California
  4. El Dorado Hills
  5. Marriage Family Therapist
  6. NPI Profile

LISA ANN DICKINSON LMFT
NPI 1407108970
Marriage & Family Therapist in El Dorado Hills, CA

Active since October 09, 2012Opted out of Medicare · through Jan 22, 2028
4993 GOLDEN FOOTHILL PKWY STE 6, EL DORADO HILLS, CA 95762(805) 479-1148 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017, May 30, 2017 (3 updates tracked since 2017).

About Lisa Ann Dickinson Lmft NPPES

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

LISA ANN DICKINSON LMFT (NPI 1407108970) is an individual marriage & family therapist in El Dorado Hills, California, licensed in California (MFC 52228) and active in the NPI registry since October 2012. She has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1407108970
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLISA ANN DICKINSONCredential: LMFT
Location Address4993 GOLDEN FOOTHILL PKWY STE 6El Dorado Hills, CA 95762-9642
Mailing Address4993 Golden Foothill Parkway, Suite 6El Dorado Hills, CA 95762 · (805) 479-1148
Phone(805) 479-1148
Sole ProprietorYes
Enumeration DateOctober 9, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1407108970 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 CA · MFC 52228
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.
4993 GOLDEN FOOTHILL PKWY STE 6, El Dorado Hills, CA 95762
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Ann Dickinson 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 January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lisa Dickinson's NPI number?

The NPI number for Lisa Dickinson is 1407108970. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Where is Lisa Dickinson located?

Lisa Dickinson practices at 4993 Golden Foothill Pkwy Ste 6, El Dorado Hills, CA 95762. The listed phone number is (805) 479-1148.

What is Lisa Dickinson's specialty?

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

Is Lisa Dickinson enrolled in Medicare?

No. Lisa Dickinson has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Dickinson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.