Landon Chandler Dickeson, LPC

Individual provider Active NPI Professional Counselor · Argyle, TX

NPI 1043844558 · NPPES record last updated Feb 24, 2020

Key facts

NPI
1043844558
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
79249 (TX)
Practice address
9477 Fort Worth Dr
Argyle, TX 76226-9371
Phone
(214) 830-8998
Fax
(800) 972-3802
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79249TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ranch Hand Rescue Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 79249 TX Yes

Addresses

Primary practice location

9477 Fort Worth Dr
Argyle, TX 76226-9371

Mailing address

9477 Fort Worth Dr
Argyle, TX 76226-9371
Phone (214) 830-8998

Other identifiers

IdentifierTypeStateIssuer
LDRHR06OtherTXYBM ID

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nan@ranchhandrescue.com Direct

Other providers in Argyle, TX

All providers in Argyle, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.