Individual provider Active NPI

John Dick, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Farmerville, LA
National Provider Identifier
1336749233
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CIT-5196 Issued in LA
Practice address
201 W Bayou St
Farmerville, LA 71241-2707
Phone
(318) 243-3934
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CIT-5196 LA Primary

Addresses

Primary practice location

201 W Bayou St
Farmerville, LA 71241-2707

Mailing address

451 Henry Smith Rd
Bernice, LA 71222-5523
Phone (318) 243-3934

Other practice location 1

330 E Vaughn Ave
Ruston, LA 71270-5928
Phone (318) 243-3934

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

LicenseStateTypeSpecialty
CIT-5196LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intuitive Solutions Counseling & Recovery of Louisiana, LLC Addiction (Substance Use Disorder) CurrentSince Dec 31, 2023 Accepting new patients

Locations

330 E Vaughn Ave
Ruston, LA 71270
Phone (318) 224-7135

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, 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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1336749233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HENRY SMITH RD",
            "city": "BERNICE",
            "state": "LA",
            "postal_code": "712225523",
            "telephone_number": "318-243-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BAYOU ST",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712412707",
            "telephone_number": "318-243-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 E Vaughn Ave",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712705928",
            "country_code": "US",
            "telephone_number": "318-243-3934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "JOHN",
        "credential": "CIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.