MR. JEDEDIAH LARICK LCDC NPI 1588460729

NPI Information

  • NPI: 1588460729
  • Provider Name: MR. JEDEDIAH LARICK, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1207 N CLAY ST APT 1
    ENNIS, TX
    ZIP 75119
  • Phone: (956) 933-0709

Map and Directions

Get Directions

NPI Details

MR. Jedediah Larick, LCDC is an addiction (substance use disorder) counselor in Ennis, TX. MR. Jedediah Larick, LCDC NPI is 1588460729. 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:

1207 N CLAY ST APT 1
ENNIS, TX
ZIP 75119-346
Phone: (956) 933-0709

The enumeration date for this NPI number is 2/19/2025 and was last updated on 4/4/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)14222TEXASYes

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
114222OTHERTEXASLICENSED CHEMICAL DEPENDENCY COUNSELOR

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.