Active NPI
Pamela Kay Dimmick, MA, LCDC, LPC
- Counselor
- Tomball, TX
National Provider Identifier
1376009779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 80936
- Practice address
- 12101 Northpointe Blvd Apt 8108
Tomball, TX 77377-2280 - Phone
- (281) 635-0391
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 80936 | TX | Primary |
Addresses
Primary practice location
12101 Northpointe Blvd Apt 8108
Tomball, TX 77377-2280
Mailing address
12101 Northpointe Blvd Apt 8108
Tomball, TX 77377-2280
Phone (281) 635-0391
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80936 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059
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": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1376009779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 NORTHPOINTE BLVD APT 8108",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773772280",
"telephone_number": "281-635-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 NORTHPOINTE BLVD APT 8108",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773772280",
"telephone_number": "281-635-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMMICK",
"first_name": "PAMELA",
"middle_name": "KAY",
"credential": "MA, LCDC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "80936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.