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MR. JOSEPH LEE DICKERSON JR. M. ED
NPI 1780029165
Counselor in Manchester, CT

Active since April 30, 2013PECOS Enrolled
872 VERNON ST, MANCHESTER, CT 06042(860) 882-9117 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Joseph Lee Dickerson Jr. M. Ed NPPES

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

MR. JOSEPH LEE DICKERSON JR. M. ED (NPI 1780029165) is an individual counselor in Manchester, Connecticut, licensed in Connecticut (C022013000914) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780029165
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JOSEPH LEE DICKERSON JR.Credential: M. ED
Location Address872 VERNON STManchester, CT 06042-2415
Mailing Address872 Vernon StManchester, CT 06042-2415 · (860) 882-9117
Phone(860) 882-9117
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 30, 2013
✔ NPI 1780029165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CT · C022013000914
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C022013000914 (CT)
872 VERNON ST, Manchester, CT 06042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joseph Lee Dickerson Jr. M. Ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769982750
PECOS Enrollment IDI20250825000705
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 2

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

DICKERSON ENTERPRISE LLC
Community/Behavioral Health
872 VERNON ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 416-3500
DICKERSON ENTERPRISE LLC
Counselor (Professional)
872 VERNON ST
MANCHESTER, CT 06042
Capitol Planning Region (860) 416-3500

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 Joseph Dickerson's NPI number?

The NPI number for Joseph Dickerson is 1780029165. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Joseph Dickerson located?

Joseph Dickerson practices at 872 Vernon St, Manchester, CT 06042. The listed phone number is (860) 882-9117.

What is Joseph Dickerson's specialty?

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

Is Joseph Dickerson enrolled in Medicare?

Yes. Joseph Dickerson is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Dickerson accept?

Health plans from Providence Health Plan list Joseph Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Dickerson was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.