IndividualActive
Staccotta Dickerson
NPI 1073440798 · Counselor · Princeton, WV
Staccotta Dickerson is a Counselor provider in Princeton, WV (NPI 1073440798).
Provider details
- NPI number
- 1073440798
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sole proprietor
- No
- License
- 1740234673 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 12th Street Ext
Princeton, WV 24740-2329
Phone: (304) 425-9541
Approximate (ZIP-level) locationGet directions
Mailing address
200 12th Street Ext
Princeton, WV 24740-2329
Registry dates
- Enumerated
- 2026-05-06
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Staccotta Dickerson's NPI number?
- Staccotta Dickerson's National Provider Identifier (NPI) is 1073440798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Staccotta Dickerson's specialty?
- Staccotta Dickerson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Staccotta Dickerson located?
- Staccotta Dickerson's practice location on file with NPPES is 200 12th Street Ext, Princeton, WV 24740-2329.
- What is Staccotta Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Staccotta Dickerson is (304) 425-9541.
- Is Staccotta Dickerson's NPI active?
- Yes — Staccotta Dickerson's NPI (1073440798) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.