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Deactivated NPI 1700918513 Deactivated / Inactive NPI Male Practitioner

Thomas W Dickinson , PCC

Counselor • Berea, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Dickinson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2007
NPI Deactivation Date October 05, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Thomas Dickinson, PCC was a registered Counselor practicing in Berea, OH. Throughout an active medical career spanning 13 years, Thomas Dickinson provided care at the practice location at 429 FRONT ST until profile deactivation on 2020-10-05.

Practice Location & Contact Primary Location

Practice Address

429 Front St

Berea, OH 440171716

Telephone 4402341900
Associated Practice Facility / Clinic
🏢 Nathaniel Hamm Dpm, Llc Facility NPI 1700268406

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Berea, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Berea, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH E-0003473

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
John Bontempo , LISW

Social Worker - Clinical

NPI 1174567291

Licensed Independent Social Worker

Shela Slapakovs , LPCC

Counselor - Professional

NPI 1316535362

Licensed Professional Clinical Counselor

Linda Blaser , LPCC

Counselor - Professional

NPI 1477698637

Licensed Professional Clinical Counselor

NPI 1861530826

Doctor of Philosophy (Ph.D.)

Shannon Theus , LISW

Social Worker - Clinical

NPI 1891329264

Licensed Independent Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 05, 2020

Record deactivated on October 05, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 429 FRONT ST, BEREA, OH 440171716 (Tel: 4402341900)

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Updated Business Mailing Address July 08, 2007

Registered at 1620 CATALPA RD, CLEVELAND, OH 441121007 (Tel: 2164814692)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DICKINSON, PCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #E-0003473 in OH)

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Initial NPI Registration & Enumeration March 09, 2007

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: 1700918513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 08, 2007
Deactivation Date: October 05, 2020

Mailing Address

1620 Catalpa Rd

Cleveland, OH 441121007

Phone: 2164814692

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.