Active NPI
Bruce E. Dimick, LCMFT
- Mental Health Counselor
- Salina, KS
National Provider Identifier
1518112127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCMFT, 809
- Practice address
- 119 W. Iron
5TH Floor
Salina, KS 67401 - Phone
- (785) 342-0021
- NPI assigned
- Nov 24, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCMFT, 809 | KS | Primary |
Addresses
Primary practice location
119 W. Iron
5TH Floor
Salina, KS 67401
Mailing address
119 W Iron Ave FL 5
Salina, KS 67401-2600
Phone (785) 342-0021
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 |
|---|---|---|---|
| LCMFT, 809 | KS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1518112127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W IRON AVE FL 5",
"city": "SALINA",
"state": "KS",
"postal_code": "674012600",
"telephone_number": "785-342-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W. IRON",
"address_2": "5TH FLOOR",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-342-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICK",
"first_name": "BRUCE",
"middle_name": "E.",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "LCMFT, 809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
- Dignity Care Home
- Carla J Dill, RD,LD, CDE
- Dillon Companies LLC (Dillon Pharmacy)
- Dillon Companies LLC (Dillons Pharmacy #095)
- Dillon Companies LLC (Dillon Pharmacy)
- Laury J Dimick, LSCSW
- E Joann Dimmitt, LSCSW
- Austin Dinofrio, DDS
- Disability Organization of Kansas, Inc.
- Disability Planning Organization of Kansas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.