MR. CHRIS D WARREN DICKINS LPC
NPI 1568957033
Counselor - Professional in Ridgewood, NJ

Active since June 27, 2018Opted out of Medicare · through Jan 7, 2028
235 ORCHARD PL, RIDGEWOOD, NJ 07450(201) 862-7776 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 15, 2020, Dec 14, 2018, Jun 27, 2018 (3 updates tracked since 2018).

About Mr. Chris D Warren Dickins Lpc NPPES

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

MR. CHRIS D WARREN DICKINS LPC (NPI 1568957033) is an individual professional provider in Ridgewood, New Jersey, licensed in New Jersey (37PC00618700) and active in the NPI registry since June 2018. He has opted out of Medicare through January 7, 2028 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1568957033
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CHRIS D WARREN DICKINSCredential: LPC
Location Address235 ORCHARD PLRidgewood, NJ 07450-4903
Mailing Address235 Orchard PlRidgewood, NJ 07450-4903 · (201) 779-6917
Sole ProprietorYes
Enumeration DateJune 27, 2018
Last NPPES UpdateApril 15, 20203 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1568957033 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 NJ · 37PC00618700
235 ORCHARD PL, Ridgewood, NJ 07450

Secondary Practice Locations 3

Location 1121 Cedar Ln Ste 3ATeaneck, NJ 07666-4457 · Phone (201) 862-7776
Location 261 N Maple Ave Ste 301Ridgewood, NJ 07450-3232 · Phone (201) 779-6917
Location 3162 E Ridgewood Ave Ste 4BRidgewood, NJ 07450-3846 · Phone (201) 862-7776

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Chris D Warren Dickins Lpc 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 7, 2024 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2024
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
235 ORCHARD PL
RIDGEWOOD, NJ 07450

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 Chris Warren Dickins's NPI number?

The NPI number for Chris Warren Dickins is 1568957033. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Chris Warren Dickins located?

Chris Warren Dickins practices at 235 Orchard Pl, Ridgewood, NJ 07450. The listed phone number is (201) 862-7776.

What is Chris Warren Dickins's specialty?

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

Is Chris Warren Dickins enrolled in Medicare?

No. Chris Warren Dickins has opted out of Medicare through January 7, 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 Chris Warren Dickins was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.