Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Marie Dickerson

Individual provider Marriage & Family Therapist · NPI 1871917468

Crystal Marie Dickerson is a Marriage and Family Therapist in Santa Clara, California. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone: (323) 205-7088
Fax: (833) 419-0181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 680 E Colorado Blvd, Pasadena, CA 91101-6143 — (646) 941-7645
  • 3600 Lime St Ste 711, Riverside, CA 92501-2978 — (909) 470-1456

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 155533 (CA)

Record details

NPI number1871917468
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2014
Last updated in NPPESNovember 29, 2025
Certification dateNovember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Santa Clara