Active NPI
Caelie Dunn, LPC ASSOCIATE
- Professional Counselor
- Dallas, TX
National Provider Identifier
1306415898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84420
- Practice address
- 16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910 - Phone
- (214) 618-8402
- NPI assigned
- Jun 21, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84420 | TX | Primary |
Addresses
Primary practice location
16980 Dallas Pkwy Ste 204
Dallas, TX 75248-1910
Mailing address
719 N Madison Ave
Dallas, TX 75208-4322
Phone (214) 226-6742
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84420 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1306415898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 N MADISON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084322",
"telephone_number": "214-226-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16980 DALLAS PKWY STE 204",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481910",
"telephone_number": "214-618-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CAELIE",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84420",
"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 Jun 21, 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.