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KATHRYN SUZANNE DICKERSON BS/BHWC
NPI 1447624630
Case Manager/Care Coordinator in Ada, OK

Active since November 25, 2015

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2026, Oct 13, 2016, Nov 25, 2015 (3 updates tracked since 2015).

About Kathryn Suzanne Dickerson Bs/bhwc NPPES

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

KATHRYN SUZANNE DICKERSON BS/BHWC (NPI 1447624630) is an individual case manager/care coordinator provider in Ada, Oklahoma and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1447624630
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKATHRYN SUZANNE DICKERSONCredential: BS/BHWC
Location Address301 W 4TH STAda, OK 74820-3411
Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 319-7305 · Fax (580) 319-7328
Phone(580) 436-2690
Sole ProprietorNo
Enumeration DateNovember 25, 2015
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1447624630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
301 W 4TH ST, Ada, OK 74820
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Other Providers at the Same Location NPPES 20

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

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
CARROLL DAVID HILL
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
JUSTIN DOTY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
ASHLEY HYSTEN
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
SARA MORGAN
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
MARISSA BRADY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
GEORGE BURR II
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ASHLYN PETERSON
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690

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 Kathryn Dickerson's NPI number?

The NPI number for Kathryn Dickerson is 1447624630. It was assigned to this individual provider in the NPPES registry on November 25, 2015.

Where is Kathryn Dickerson located?

Kathryn Dickerson practices at 301 W 4th St, Ada, OK 74820. The listed phone number is (580) 436-2690.

What is Kathryn Dickerson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kathryn Dickerson was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.