DICKERSON ENTERPRISE LLC
NPI 1669993663
Community/Behavioral Health in Manchester, CT

Q: What is Dickerson Enterprise LLC's NPI number?

The NPI number for Dickerson Enterprise LLC is 1669993663. It was assigned to this organization in the NPPES registry on June 29, 2017. The provider is doing business as Dickerson Counseling and Therapy Center.

Q: What is Dickerson Enterprise LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 29, 2017

872 VERNON ST, MANCHESTER, CT 06042(860) 416-3500 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2025, Jun 20, 2025, Feb 28, 2025 and 2 more (5 updates tracked since 2017).

On this page

About Dickerson Enterprise Llc NPPES

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

DICKERSON ENTERPRISE LLC (NPI 1669993663), doing business as Dickerson Counseling And Therapy Center, is a healthcare organization registered as a community/behavioral health in Manchester, Connecticut and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Manchester and lists Joseph Lee Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1669993663

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDICKERSON ENTERPRISE LLC

Location Address872 VERNON STManchester, CT 06042-2415

Mailing Address872 Vernon StManchester, CT 06042-2415 · (860) 416-3500

Phone(860) 416-3500

Organization SubpartNo

Authorized OfficialJoseph Lee DickersonOwner · (860) 416-3500

Enumeration DateJune 29, 2017

Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1669993663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CT · 3221

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

872 VERNON ST, Manchester, CT 06042

Open in Google Maps ↗

Other Names 1

Doing Business AsDickerson Counseling And Therapy Center

Secondary Practice Location 1

Location 1872 Vernon StManchester, CT 06042-2415 · Phone (860) 416-3500

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dickerson Enterprise LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Dickerson, M. ED

Mental Health Counselor

NPI 1780029165

872 VERNON ST
Manchester, CT 06042

(860) 882-9117

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dickerson Enterprise LLC's NPI number?

The NPI number for Dickerson Enterprise LLC is 1669993663. It was assigned to this organization in the NPPES registry on June 29, 2017. The provider is doing business as Dickerson Counseling and Therapy Center.

Where is Dickerson Enterprise LLC located?

Dickerson Enterprise LLC is located at 872 Vernon St, Manchester, CT 06042. The listed phone number is (860) 416-3500.

What is Dickerson Enterprise LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Dickerson Enterprise LLC enrolled in Medicare?

Yes. Dickerson Enterprise LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dickerson Enterprise LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Dickerson Enterprise LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dickerson Enterprise LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.