Michael A. Dickson
NPI 1114107042ActiveIndividual· Counselor, Mental Health· Boise, ID
Counselor, Mental Health with Bridgeway Health Services LLC, practicing in Boise, Idaho. Medicare paid $26,176 for services to 20 patients in 2024.
Overview
| NPI | 1114107042 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 8, 2007 |
| Last updated in NPPES | Nov 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LCSW - 28518 | ID |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | ACADC - 76 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 351 across 6 procedure codes |
| Paid by Medicare | $26,176 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Bridgeway Health Services LLCEagle, ID · 10 clinicians
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