DANIELLE DICKIE - NPI 1629678636 - Marriage & Family Therapist in Clovis, CA

Q: What is Danielle Dickie's NPI number?

The NPI number for Danielle Dickie is 1629678636. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Q: What is Danielle Dickie's specialty?

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

Q: Is Danielle Dickie enrolled in Medicare?

No. Danielle Dickie has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Danielle Dickie was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Danielle Dickie NPPES

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

DANIELLE DICKIE (NPI 1629678636) is an individual marriage & family therapist in Clovis, California, licensed in California (119300) and active in the NPI registry since October 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1629678636

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDANIELLE DICKIE

Location Address644 POLLASKY AVE STE 203Clovis, CA 93612-1883

Mailing Address644 Pollasky Ave Ste 203Clovis, CA 93612-1883

Phone(559) 202-3596

Sole ProprietorYes

Enumeration DateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1629678636 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 · 119300

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.

644 POLLASKY AVE STE 203, Clovis, CA 93612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Danielle Dickie 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

NICOLYN TREVINO LMFT

Marriage & Family Therapist