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

Jay Dickinson, MA, LPC

Individual provider Mental Health Counselor · NPI 1619095163

Jay Dickinson, MA, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Ivyland Counseling Center, Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

255 S 17th St Ste 1010
Philadelphia, PA 19103-6210
Phone: (610) 892-3800
Fax: (484) 468-1412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC004833 (PA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1619095163
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ivyland Counseling Center, Inc. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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