Active NPI
Ashley Dickerson, LMFT-A
- Marriage & Family Therapist
- Lubbock, TX
National Provider Identifier
1003215021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202160
- Practice address
- 1313 Broadway Ste 5
Lubbock, TX 79401-3209 - Phone
- (180) 676-5260
- Fax
- (180) 668-7595
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202160 | TX | Primary |
Addresses
Primary practice location
1313 Broadway Ste 5
Lubbock, TX 79401-3209
Mailing address
1313 Broadway Ste 5
Lubbock, TX 79401-3209
Phone (180) 676-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202160 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1003215021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 BROADWAY STE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794013209",
"telephone_number": "180-676-5260",
"fax_number": "180-668-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 BROADWAY STE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794013209",
"telephone_number": "180-676-5260",
"fax_number": "180-668-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "ASHLEY",
"credential": "LMFT-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.