DR. CODY WILLIAM DICKSON PHD LPC NCC NPI 1124436035

NPI Information

NPI: 1124436035
Provider Name: DR. CODY WILLIAM DICKSON, PHD, LPC, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3805 22ND ST STE 1C
LUBBOCK, TX
ZIP 79410
Phone: (806) 252-6633
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DR. Cody William Dickson, PHD, LPC, NCC is a professional counselor in Lubbock, TX. DR. Cody William Dickson, PHD, LPC, NCC NPI is 1124436035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3805 22ND ST STE 1C
LUBBOCK, TX
ZIP 79410-142
Phone: (806) 252-6633

The enumeration date for this NPI number is 7/24/2014 and was last updated on 9/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	5222	NEBRASKA	No
2	101YP2500X	Counselor	Professional	69897	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	338488501	MEDICAID	TEXAS
2	5222	OTHER	NEBRASKA	NEBRASKA DHHS LICENSURE UNIT
3	69897	OTHER	TEXAS	TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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