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Active NPI 1679280069 Individual Practitioner Female Practitioner

Renee Dickerson , LCPC, CADC

Counselor • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Renee Dickerson, LCPC, CADC is a registered healthcare professional specializing in Counselor in Chicago, IL. Practice services are available at 9633 S PEORIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9633 S Peoria St

Chicago, IL 606431515

Telephone 7737151613
Associated Practice Facility / Clinic
🏢 Her Service Matters Llc Facility NPI 1053038182

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
538 Specialists

Practicing in Chicago, IL (3897 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-03
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 180004504

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
920571231 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2022

Registered at 9633 S PEORIA ST, CHICAGO, IL 606431515 (Tel: 7737151613)

📍
Updated Business Mailing Address November 03, 2022

Registered at 9633 S PEORIA ST, CHICAGO, IL 606431515 (Tel: 7737151613)

👤
Provider Name / Credentials Updated November 03, 2022

Recorded as RENEE DICKERSON, LCPC, CADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2022

Counselor (License #180004504 in IL)

🟢
Initial NPI Registration & Enumeration November 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679280069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2022
Last Update: November 03, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9633 S Peoria St

Chicago, IL 606431515

Phone: 7737151613

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.