Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093694119 Individual Practitioner Male Practitioner

Colton Dickerson

Peer Specialist • Marion, OH

Professional Overview & Biography Verified Profile Summary

Colton Dickerson is a registered healthcare professional specializing in Peer Specialist in Marion, OH. Practice services are available at 1199 DELAWARE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1199 Delaware Ave

Marion, OH 433026475

Telephone 7407362033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Marion, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Marion, OH (3139 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

CMS Verified: 2025-09-02
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH TY824496

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Jeana Johnson , LPC

Counselor - Professional

NPI 1154813921

Licensed Professional Counselor

Sarah Smith

Case Manager/Care Coordinator

NPI 1215697453
Amanda Kelly

Case Manager/Care Coordinator

NPI 1255166294
Jeanna Hanshaw

Case Manager/Care Coordinator

NPI 1285405480
Atricia Bradley

Case Manager/Care Coordinator

NPI 1386303063
Jadelyn Parks

Case Manager/Care Coordinator

NPI 1447960943

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2025

Registered at 1199 DELAWARE AVE, MARION, OH 433026475 (Tel: 7407362033)

📍
Updated Business Mailing Address September 02, 2025

Registered at 254 S HIGH ST, CALEDONIA, OH 433147723 (Tel: 5672402451)

👤
Provider Name / Credentials Updated September 02, 2025

Recorded as COLTON DICKERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2025

Peer Specialist (License #TY824496 in OH)

🟢
Initial NPI Registration & Enumeration September 02, 2025

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: 1093694119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2025
Last Update: September 02, 2025
Sole Proprietor: Yes

Mailing Address

254 S High St

Caledonia, OH 433147723

Phone: 5672402451

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.