KATHERINE DICKERSON
NPI 1659120855
Marriage & Family Therapist in Roseville, CA

Q: What is Katherine Dickerson's NPI number?

The NPI number for Katherine Dickerson is 1659120855. It was assigned to this individual provider in the NPPES registry on May 18, 2024.

Q: What is Katherine Dickerson's specialty?

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

Active since May 18, 2024PECOS Enrolled

1382 BLUE OAKS BLVD STE 213, ROSEVILLE, CA 95678(877) 412-8031 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Katherine Dickerson NPPES

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

KATHERINE DICKERSON (NPI 1659120855) is an individual marriage & family therapist in Roseville, California, licensed in California (131426) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1659120855

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATHERINE DICKERSON

Location Address1382 BLUE OAKS BLVD STE 213Roseville, CA 95678-7052

Mailing Address7151 Colony RdLa Mesa, CA 91942-8523

Phone(877) 412-8031

Sole ProprietorNo

Enumeration DateMay 18, 2024

NPPES CertifiedMay 18, 2024

✔ NPI 1659120855 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 · 131426

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.

1382 BLUE OAKS BLVD STE 213, Roseville, CA 95678

Open in Google Maps ↗

Secondary Practice Location 1

Location 13914 Murphy Canyon Rd Ste A218San Diego, CA 92123-4423 · Phone (877) 412-8031

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Dickerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

NIKKI LANE

Counselor (Mental Health)