Active NPI
Christin N. Dickinson, M.S, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1205780301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 94576
- Practice address
- 1210 Botham Jean Blvd Apt 1325
Dallas, TX 75215-1047 - Phone
- (817) 797-6515
- NPI assigned
- Feb 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 94576 | TX | Primary |
Addresses
Primary practice location
1210 Botham Jean Blvd Apt 1325
Dallas, TX 75215-1047
Mailing address
1210 Botham Jean Blvd Apt 1325
Dallas, TX 75215-1047
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17503 La Cantera Pkwy
San Antonio, TX 78257-4000
17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-8209
535 Mack Ave
Kingsley, MI 49649-9220
PO Box
Suite 186859
Hamden, CT 06518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94576 | TX | MD | Mental Health Counselor |
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": "1771977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1205780301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 BOTHAM JEAN BLVD APT 1325",
"city": "DALLAS",
"state": "TX",
"postal_code": "752151047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BOTHAM JEAN BLVD APT 1325",
"city": "DALLAS",
"state": "TX",
"postal_code": "752151047",
"telephone_number": "817-797-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "CHRISTIN",
"middle_name": "N.",
"credential": "M.S, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "94576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.