Individual provider Active NPI

Dinah Dziolek, LPC-S

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1053772624
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80062 Issued in TX
Practice address
623 State Highway 46 E
Boerne, TX 78006-5757
Phone
(888) 623-8890
Fax
(844) 654-0224
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0179831 NM
Professional Counselor 101YP2500X 2021049363 MO
Professional Counselor 101YP2500X LPC-20797 AZ
Professional Counselor 101YP2500X 80062 TX Primary

Addresses

Primary practice location

623 State Highway 46 E
Boerne, TX 78006-5757

Mailing address

522 Mystic Pkwy
Spring Branch, TX 78070-5285
Phone (888) 623-8890

Other practice location 1

800 Bulverde Rd
Bulverde, TX 78163-4806
Phone (888) 623-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221001656 TX Practitioner - Mental Health Counselor 7911427885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Ready CounselingGroup PAC ID 5092235945, 4 clinicians

Practice addresses (Care Compare)

800 Bulverde Rd
Bulverde, TX 78163-4806
Phone (888) 623-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0179831NMMDMental Health Counselor
LPC-20797AZMDProfessional Counselor
2021049363MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Ready Counseling Mental Health CurrentSince Jan 6, 2025 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1053772624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 MYSTIC PKWY",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705285",
            "telephone_number": "888-623-8890",
            "fax_number": "844-654-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STATE HIGHWAY 46 E",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065757",
            "telephone_number": "888-623-8890",
            "fax_number": "844-654-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Bulverde Rd",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "781634806",
            "country_code": "US",
            "telephone_number": "888-623-8890",
            "fax_number": "844-654-0224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIOLEK",
        "first_name": "DINAH",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0179831",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021049363",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.