Active NPI
Dedrick Ford
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1316719792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 93258
- Practice address
- 10300 N Central Expy Ste 280
Dallas, TX 75231-8666 - Phone
- (214) 430-4476
- NPI assigned
- Oct 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 93258 | TX | Primary |
Addresses
Primary practice location
10300 N Central Expy Ste 280
Dallas, TX 75231-8666
Mailing address
8171 Midtown Blvd Apt 2214
Dallas, TX 75231-4483
Phone (334) 750-6548
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 |
|---|---|---|---|
| 93258 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1316719792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8171 MIDTOWN BLVD APT 2214",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314483",
"telephone_number": "334-750-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 N CENTRAL EXPY STE 280",
"city": "DALLAS",
"state": "TX",
"postal_code": "752318666",
"telephone_number": "214-430-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "DEDRICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "93258",
"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 Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.