CHARLES DICKERMAN LMFT, CADC III, SUDP
NPI 1548433261
Marriage & Family Therapist in Portland, OR
- Individual
- Male
- Marriage & Family Therapist
- Accepts Insurance
- PECOS Enrolled
About CHARLES DICKERMAN
This page provides the complete NPI Profile along with additional information for Charles Dickerman, a provider established in Portland, Oregon with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1548433261 assigned on April 2008. The practitioner's primary taxonomy code is 106H00000X with license number T0866 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1548433261 Verify this NPI
- Provider Name
- CHARLES DICKERMAN LMFT, CADC III, SUDP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 19500 SE STARK ST PORTLAND, OR 97233
- Location Phone
- (503) 249-3434
- Mailing Address
- 19500 SE STARK ST PORTLAND, OR 97233
- Mailing Phone
- (503) 249-3434
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2008
- Last Update Date
- 12-27-2023
- Code Navigator
A marriage and family therapist like Charles Dickerman help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
Location Map
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
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- T0866
- License State
- OR
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 11-06-19 (OR) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | CP60796757 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
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 |
|---|---|---|---|
| 164936 | MEDICAID (05) | OR |
Medicare Participation & PECOS Enrollment Status
Charles Dickerman 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
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 CHARLES DICKERMAN LMFT, CADC III, SUDP
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PORTLAND, OR 97233
PORTLAND, OR 97233
PORTLAND, OR 97233
PORTLAND, OR 97233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548433261, enumerated as an "individual" on April 03, 2008.
The provider is located at 19500 SE STARK ST PORTLAND, OR 97233 and the phone number is (503) 249-3434.
Marriage & Family Therapist with taxonomy code 106H00000X.
The provider might be accepting Accepts: Kaiser Permanente, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
