DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) – Professional Counselor, NPI 1588796718

DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) is a healthcare provider. based in North aurora, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PSYD, LCPC, CADC. They hold a License No. 17874 (IL). The NPI Number for DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) is 1588796718

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC)
NPI
1588796718
Phone
(708) 207-8381
Address
1098 KILBERY LN
Enumeration Date
12 March 2007
Last Update Date
9 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7085982605
Graduation Year
2012 (14 years ago)
PAC ID
7618315730
Group Practice PAC ID
0143113027
Professional Enrollment ID
I20240409000379
Address ID
IL604551778BR8540XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC)

  • 1098 KILBERY LN

    NORTH AURORA, IL 605424613

    Phone: (708) 207-8381

    Fax: (630) 416-8306

    Type: Mailing

  • 1560 WALL ST

    SUITE 304

    NAPERVILLE, IL 605631123

    Phone: (708) 207-8381

    Fax: (630) 416-8306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240409000379IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60542)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143113027View full group profile
NameSpecialtyState
Clinical Social WorkerIL
P S Y C H I A T R YIL
Clinical Social WorkerIL
Physician AssistantIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL

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Frequently asked questions

Can I use this page to confirm DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC)'s NPI?
Yes. DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) is listed with NPI 1588796718 in the public NPI dataset.
Does the file indicate DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) is practicing under active NPI?
Directory data currently reports DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) as active.
What taxonomy line describes DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC)?
For research purposes, treat DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) list a practice location?
Patients near North Aurora, Illinois may find DR. ANNE JEANINE DICKINSON (PSYD, LCPC, CADC) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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