DEREK JAMES DICKSON LPCC
NPI 1174053052
Counselor - Mental Health in Shaker Heights, OH
NPI Status: Active since June 14, 2017
Contact Information
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118
Phone: (216) 932-2800
- Individual
- Male
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About DEREK DICKSON
This page provides the complete NPI Profile along with additional information for Derek Dickson, a provider established in Shaker Heights, Ohio with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1174053052 assigned on June 2017. The practitioner's primary taxonomy code is 101YM0800X with license number E.2001801-SUPV (OH). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1174053052
- Provider Name
- DEREK JAMES DICKSON LPCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118
- Location Phone
- (216) 932-2800
- Mailing Address
- 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118
- Mailing Phone
- (216) 932-2800
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-14-2017
- Last Update Date
- 07-30-2025
- Code Navigator
A mental health counselor like Derek Dickson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- E.2001801-SUPV
- License State
- OH
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Bronze Standard w/ Virtual & Wellness (CLE-Care) - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Gold Standard w/ Virtual & Wellness (CLE-CARE) - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- SummaCare Bronze 8000 - HMO
- SummaCare Bronze 8000 with Adult Vision Exam - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
- SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam - HMO
- SummaCare Silver 7000 with 3 Free PCP Visits - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Derek Dickson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DEREK JAMES DICKSON LPCC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 0 | 5 | 3 | 0 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 0 | 5 | 6 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 0 + 5 + 6 + 0 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1174053052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588871255 | MR. JEFFREY A. LOX MSSA, LISW, ACSW Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8402 |
| 1215249420 | MRS. AMY PHELAN SMITH TYSON LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8293 |
| 1043513112 | JILL SADOWSKY MSW, LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 932-2800 |
| 1801199773 | MRS. AMY W SOLOMON MA, LPCC-S Individual | Counselor (Mental Health) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8328 |
| 1770886624 | LAURI ANNE LARIBEE LPCC-S Individual | Counselor (Mental Health) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8205 |
| 1255634101 | MARGARET WITKOWSKI LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8447 |
| 1114220035 | KRISTINE KRISKO LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8610 |
| 1528361474 | JANICE SANFORD-RUSSO LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 932-2800 |
| 1023311883 | GABRIELA TRYBUS Individual | Counselor (Professional) | 22001 FAIRMOUNT BLVD SHAKER HTS, OH 44118 (216) 320-8628 |
| 1003119942 | MRS. KERRY KATZ LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8458 |
| 1962705814 | MS. JACQUELYN SUSAN GOULD LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD UNIVERSITY HEIGHTS, OH 44118 (216) 320-8315 |
| 1619270402 | MR. CARL RYAN BRASS PCC Individual | Counselor (Mental Health) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8581 |
| 1669775201 | KATIE CHEYFITZ EICHENAUER LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8257 |
| 1053614768 | SUZANNE APPEL Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HTS, OH 44118 (216) 932-2800 |
| 1306140991 | MRS. SARAH ELIZABETH OLIVER MSSA, LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8227 |
| 1851695423 | STEPHANIE SCHLEIFER MA, LPCC-S Individual | Counselor (Mental Health) | 22001 FAIRMOUNT BLVD SHAKER HTS, OH 44118 (216) 932-2800 |
| 1932403995 | MS. SHEILA REYNOLDS LISW-S Individual | Social Worker (Clinical) | 22001 FAIRMOUNT BLVD SHAKER HTS, OH 44118 (216) 932-2800 |
| 1740584606 | MS. KATHLEEN ELAINE BRAZYTIS RN Individual | Registered Nurse | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8240 |
| 1003110966 | MRS. LAURA LEE MCCLURE R.N. Individual | Registered Nurse | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 320-8240 |
| 1912201708 | MRS. NATALIA BEATTY PCC Individual | Counselor (Professional) | 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 (216) 932-2800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174053052, enumerated in the NPI registry as an "individual" on June 14, 2017
The provider is located at 22001 Fairmount Blvd Shaker Heights, Oh 44118 and the phone number is (216) 932-2800
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 14, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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