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

Mr. Joseph Lee Dickerson Jr., MED

Individual provider Counselor · NPI 1780029165

Mr. Joseph Lee Dickerson Jr., MED is a Mental Health Counselor in Manchester, Connecticut. Qualified in 1999, 27 years ago. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2013
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

872 Vernon St
Manchester, CT 06042-2415
Phone: (860) 882-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C022013000914 (CT)
Professional Counselor Taxonomy 101YP2500X · Licence C022013000914 (CT)

Record details

NPI number1780029165
Entity typeIndividual (Type 1)
GenderMale
Credentials MED
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESApril 30, 2013

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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