Timothy Amon Myrick, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13857 Issued in TX

Practice address

4144 N Central Expy
Suite 520
Dallas, TX 75204-3140

Phone

(214) 824-2009

Fax

(214) 824-2081

NPI assigned

Dec 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1366710667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "SUITE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-824-2009",
            "fax_number": "214-824-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N CENTRAL EXPY",
            "address_2": "SUITE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043140",
            "telephone_number": "214-824-2009",
            "fax_number": "214-824-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "TIMOTHY",
        "middle_name": "AMON",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M. Myint, M.D.
• Mynursepractitioner
• Mypathcounseling, PLLC
• Isaac Garth Myres
• Beau Myrick
• Myron H. Watkins, MD PA
• Myron S Lazar PHD
• Myron S. Lazar PH.D., P.C.
• Myrtle'S Mo Love Home Health
• Krysten Myser, MD

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.