Individual provider Active NPI

David Vick, LPC

  • Professional Counselor
  • Keller, TX
National Provider Identifier
1154931616
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78424 Issued in TX
Practice address
440 Johnson Rd Ste C
Keller, TX 76248-3465
Phone
(817) 431-8900
NPI assigned
Aug 8, 2020
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78424 TX Primary
School Counselor 101YS0200X 1507399 TX

Addresses

Primary practice location

440 Johnson Rd Ste C
Keller, TX 76248-3465

Mailing address

6057 Hilltop Dr
Watauga, TX 76148-1359
Phone (817) 929-5599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david@firstlightcounseling.co Direct

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
I20260420002199 TX Practitioner - Mental Health Counselor 8729554472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Growth Center PLLCGroup PAC ID 8022524354, 3 clinicians

Practice addresses (Care Compare)

440 Johnson Rd
Suite C
Keller, TX 76248-3465
Phone (817) 431-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78424TXMDProfessional Counselor
1507399TXMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Growth Center PLLC Professional CurrentSince May 11, 2025 Accepting new patients
First Light Counseling, LLC Professional CurrentSince Oct 1, 2023 Accepting new patients

Locations

440 Johnson Rd
Ste C
Keller, TX 76248
Phone (817) 431-8900

185 S Kimball Ave
Ste 100
Southlake, TX 76092
Phone (682) 936-1830

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1154931616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 HILLTOP DR",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481359",
            "telephone_number": "817-929-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 JOHNSON RD STE C",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483465",
            "telephone_number": "817-431-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-08",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78424",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "1507399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david@firstlightcounseling.co",
            "affiliation": "N",
            "endpointDescription": "Work Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work Secured Email",
            "address_1": "185 S Kimball Ave Ste 100",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760921524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.