RENEE DICKERSON LCPC, CADC
NPI 1679280069
Counselor in Chicago, IL

Q: What is Renee Dickerson's NPI number?

The NPI number for Renee Dickerson is 1679280069. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Q: What is Renee Dickerson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Dickerson was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2022

9633 S PEORIA ST, CHICAGO, IL 60643(773) 715-1613 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renee Dickerson Lcpc, Cadc NPPES

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

RENEE DICKERSON LCPC, CADC (NPI 1679280069) is an individual counselor in Chicago, Illinois, licensed in Illinois (180004504) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1679280069

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameRENEE DICKERSONCredential: LCPC, CADC

Location Address9633 S PEORIA STChicago, IL 60643-1515

Mailing Address9633 S Peoria StChicago, IL 60643-1515 · (773) 715-1613

Phone(773) 715-1613

Sole ProprietorYes

Enumeration DateNovember 3, 2022

NPPES CertifiedNovember 3, 2022

✔ NPI 1679280069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 180004504

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

9633 S PEORIA ST, Chicago, IL 60643

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Other Identifiers 1

Medicaid920571231IL

Other Providers at the Same Location NPPES 2

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

HER SERVICE MATTERS LLC

Community/Behavioral Health

9633 S PEORIA ST
CHICAGO, IL 60643

Cook County (773) 715-1613

VICTORY PLACE

Clinic/Center (Mental Health (Including Community Mental Health Center))

9633 S PEORIA ST
CHICAGO, IL 60643

Cook County (773) 888-1250

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 Renee Dickerson's NPI number?

The NPI number for Renee Dickerson is 1679280069. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Where is Renee Dickerson located?

Renee Dickerson practices at 9633 S Peoria St, Chicago, IL 60643. The listed phone number is (773) 715-1613.

What is Renee Dickerson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Renee Dickerson was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.