Dickerson Enterprise LLC
NPI 1669993663 · Community/Behavioral Health Agency · Manchester, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dickerson Enterprise LLC is a Community/Behavioral Health Agency organization in Manchester, CT (NPI 1669993663).
Provider details
- NPI number
- 1669993663
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Joseph Dickerson, Owner(860) 416-3500
- License
- 3221 (CT)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Dickerson Counseling and Therapy Center
Additional practice locations (1)
- 872 Vernon StManchester, CT 06042-2415Phone: (860) 416-3500
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2025-09-02
- Certified
- 2025-06-20
Frequently asked questions
- What is Dickerson Enterprise LLC's NPI number?
- Dickerson Enterprise LLC's National Provider Identifier (NPI) is 1669993663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dickerson Enterprise LLC?
- Dickerson Enterprise LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Dickerson Enterprise LLC located?
- Dickerson Enterprise LLC's practice location on file with NPPES is 872 Vernon St, Manchester, CT 06042-2415.
- What is Dickerson Enterprise LLC's phone number?
- The practice phone number listed in the NPPES registry for Dickerson Enterprise LLC is (860) 416-3500.
- Does Dickerson Enterprise LLC accept Medicare?
- Dickerson Enterprise LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dickerson Enterprise LLC?
- The authorized official listed on Dickerson Enterprise LLC's NPPES record is Joseph Dickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dickerson Enterprise LLC's NPI active?
- Yes — Dickerson Enterprise LLC's NPI (1669993663) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.