Active NPI 1124436035 Individual Practitioner Male Practitioner

Dr. Cody William Dickson , PhD, LPC, NCC

Counselor - Professional • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Cody Dickson, PhD, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Lubbock, TX. Practice services are available at 3805 22ND ST STE 1C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3805 22nd St Ste 1c

Lubbock, TX 794101142

Telephone 8062526633

Associated Practice Facility / Clinic

🏢 The Practice: Healing Body, Mind, And Soul Pllc Facility NPI 1376089573

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lubbock, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.6 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

327 Specialists

Practicing in Lubbock, TX (21203 Statewide)

Telehealth Adoption Rate

0.9% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 69897

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License NE 5222

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

338488501 (TX)

Commercial Insurance / Payer ID Nebraska Dhhs Licensure Unit

5222 (NE)

Commercial Insurance / Payer ID Texas State Board Of Examiners Of Professional Counselors

69897 (TX)

Secondary Practice Locations

6554 92nd St

Lubbock, TX 794246773

Phone: 8062526633

Practice Associates & Co-Workers

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

3 Associated Practitioners

Leah Mailman , LCSW

Counselor

NPI 1215595244

Licensed Clinical Social Worker

Dr. Gerald Pennie , PhD, LPC, NCC

Counselor - Professional

NPI 1396273975

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor, National Certified Counselor

Jennifer Morse , LPC

Counselor - Professional

NPI 1497210678

Licensed Professional Counselor

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location September 13, 2019

Registered at 3805 22ND ST STE 1C, LUBBOCK, TX 794101142 (Tel: 8062526633)

📍

Updated Business Mailing Address September 13, 2019

Registered at 4510 IRONTON AVE APT 3201, LUBBOCK, TX 794073783 (Tel: 8062526633)

👤

Provider Name / Credentials Updated September 13, 2019

Recorded as CODY DICKSON, PHD, LPC, NCC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2019

Counselor (License #5222 in NE)

✅

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2014

Registered at 6554 92ND ST, LUBBOCK, TX 794246773 (Tel: 8062526633)

📍

Updated Business Mailing Address July 24, 2014

Registered at 6554 92ND ST, LUBBOCK, TX 794246773 (Tel: 8062526633)

👤

Provider Name / Credentials Updated July 24, 2014

Recorded as CODY DICKSON, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Counselor (License #69897 in TX)

🟢

Initial NPI Registration & Enumeration July 24, 2014

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: 1124436035

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 24, 2014

Last Update: September 13, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4510 Ironton Ave Apt 3201

Lubbock, TX 794073783

Phone: 8062526633

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.