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MR. DALTON RYAN PICKERING LPC CANDIDATE
NPI 1811587801
Counselor in Tahlequah, OK

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(919) 207-0078 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Dalton Ryan Pickering Lpc Candidate NPPES

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

MR. DALTON RYAN PICKERING LPC CANDIDATE (NPI 1811587801) is an individual counselor in Tahlequah, Oklahoma and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811587801
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. DALTON RYAN PICKERINGCredential: LPC CANDIDATE
Location Address711 S MUSKOGEE AVETahlequah, OK 74464-4717
Mailing Address1322 E Allen Rd Apt 7Tahlequah, OK 74464-2251 · (580) 559-6450
Phone(919) 207-0078
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 22, 2021
Last NPPES UpdateJanuary 23, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1811587801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
711 S MUSKOGEE AVE, Tahlequah, OK 74464
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dalton Ryan Pickering Lpc Candidate is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991148611
PECOS Enrollment IDI20240209002615
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.

Medicare Billing Reassignment

Medicare enrollment records show Dalton Pickering reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation
1.5 mi
General Acute Care Hospital
19780 E. ROSS STREET
Tahlequah, OK 74464
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1275799645 (539) 355-1000

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

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.

BRITTANY STORM DAVIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
MELISSA MCCOY
Counselor
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
CALEB BERGEY
Case Manager/Care Coordinator
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
SARA HOWELL
Counselor (Mental Health)
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
DANIEL JOSHUA VALCARCEL
Case Manager/Care Coordinator
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 382-7300
CHUCK BRADEN ALNETT II
Peer Specialist
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
MACKENZIE DESHAE BRUNK LPN
Clinic/Center (Mental Health (Including Community Mental Health Center))
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078
EMMA ELAINE BUTLER CM II
Case Manager/Care Coordinator
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0078

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 Dalton Pickering's NPI number?

The NPI number for Dalton Pickering is 1811587801. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Dalton Pickering located?

Dalton Pickering practices at 711 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (919) 207-0078.

What is Dalton Pickering's specialty?

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

Is Dalton Pickering enrolled in Medicare?

Yes. Dalton Pickering is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dalton Pickering's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dalton Pickering reassigns Medicare benefits to Cherokee Nation (Tahlequah, OK). The 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 Dalton Pickering's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dalton Pickering was last updated on January 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.