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

Q: 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.

Q: What is Dalton Pickering'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 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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))