Individual provider Active NPI

Nykitia Ledbetter, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1194237164
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75281
Practice address
5300 Keller Springs Rd Apt 2003
Dallas, TX 75248-2703
Phone
(806) 477-2238
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75281 Primary

Addresses

Primary practice location

5300 Keller Springs Rd Apt 2003
Dallas, TX 75248-2703

Mailing address

5300 Keller Springs Rd Apt 2003
Dallas, TX 75248-2703
Phone (806) 477-2238

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
I20250114002192 TX Practitioner - Mental Health Counselor 9537697883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R-Uth Children and Family Services CurrentSince Nov 17, 2024 Accepting new patients
Mental Resilient Services Professional Current Accepting new patients

Locations

16990 Dallas Pkwy
Ste 206
Dallas, TX 75248

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1194237164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KELLER SPRINGS RD APT 2003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482703",
            "telephone_number": "806-477-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KELLER SPRINGS RD APT 2003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482703",
            "telephone_number": "806-477-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "NYKITIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "75281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.