Individual provider Active NPI

Nikki Dancer, LPC

  • Mental Health Counselor
  • Bedford, TX
National Provider Identifier
1124690144
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2717 Tibbets Dr
Bedford, TX 76022-6914
Phone
(817) 848-7912
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2717 Tibbets Dr
Bedford, TX 76022-6914

Mailing address

2717 Tibbets Dr
Bedford, TX 76022-6914

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nikkidancer@texashealth.org
Direct Messaging Address nikkidancer@texashealth.org

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

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1124690144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226914",
            "telephone_number": "817-848-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCER",
        "first_name": "NIKKI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikkidancer@texashealth.org",
            "affiliation": "N",
            "address_1": "517 Foxhunter St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761311802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikkidancer@texashealth.org",
            "affiliation": "N",
            "address_1": "2717 Tibbets Dr",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760226914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.