Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962067744 Individual Practitioner Female Practitioner

Ebony Nickerson , LPC

Counselor - Professional • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Ebony Nickerson, LPC is a registered healthcare professional specializing in Counselor - Professional in Dallas, TX. Practice services are available at 10300 N CENTRAL EXPY STE 280 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10300 N Central Expy Ste 280

Dallas, TX 752318666

Telephone 2149099545
Associated Practice Facility / Clinic
🏢 Abbey Valvano, Pllc Facility NPI 1528538881

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
1282 Specialists

Practicing in Dallas, TX (21203 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 71630

Definition to come...

Secondary Practice Locations

6969 C F Hawn Fwy

Dallas, TX 752174810

Phone: 2149099545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Lakesha Sawyer-Strickland , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013503804

Psychiatric-Mental Health Nurse Practitioner

Samantha Robben , RDN

Dietitian, Registered

NPI 1023625787

Registered Dietitian Nutritionist

Lauren Roth , LPC

Counselor - Mental Health

NPI 1033695747

Licensed Professional Counselor

Allison Connelly Threlkeld , LPC

Counselor - Professional

NPI 1053201764

Licensed Professional Counselor

Jessica Hudson , MA, LPC

Counselor - Professional

NPI 1073891685

Master of Arts, Licensed Professional Counselor

Buddy Detzel

Counselor - Professional

NPI 1174977110

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 21, 2020

Registered at 10300 N CENTRAL EXPY STE 280, DALLAS, TX 752318666 (Tel: 2149099545)

📍
Updated Business Mailing Address September 23, 2019

Registered at 10300 N CENTRAL EXPY STE 280, DALLAS, TX 75231 (Tel: 2149099545)

NPI Profile Active May 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2019

Registered at 6969 C F HAWN FWY, DALLAS, TX 752174810 (Tel: 2149099545)

📍
Updated Business Mailing Address May 07, 2019

Registered at 4028 RED ROCK DR, HEARTLAND, TX 751268917 (Tel: 2149099545)

👤
Provider Name / Credentials Updated May 07, 2019

Recorded as EBONY NICKERSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Counselor (License #71630 in TX)

🟢
Initial NPI Registration & Enumeration May 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962067744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2019
Last Update: May 21, 2020
Sole Proprietor: Yes

Mailing Address

10300 N Central Expy Ste 280

Dallas, TX 75231

Phone: 2149099545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.