Joseph Lee Dickerson Jr., M. ED
NPI 1780029165ActiveIndividual· Counselor· Manchester, CT
Counselor (M. ED) in Manchester, Connecticut, licensed in CT, with an NPI issued in April 2013. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780029165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. ED |
| Sole proprietor | No |
| NPI issued | Apr 30, 2013 |
| Last updated in NPPES | Apr 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | C022013000914 | CT |
| Counselor, Professional | 101YP2500X | C022013000914 | CT |
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 - Mental Health Counselor (CT) |
|---|
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