Thomas Bernard Dickerson, LCDCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

11140 Greenbay St
Houston, TX 77024-6729

Phone

(713) 464-3950

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Teen and Family Services

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1134731391

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1558040428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337B KATY FWY # 314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241515",
            "telephone_number": "713-464-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 GREENBAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246729",
            "telephone_number": "713-464-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "THOMAS",
        "middle_name": "BERNARD",
        "credential": "LCDCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Dickerson, M.D.
• Karen Waldrop Dickerson, PHD. CCC-SLP
• Kenneth Willie Dickerson Sr.
• Lindsay Kathleen Dickerson, MD
• Robin Michelle Dickerson, R.T.(R)(T)
• Adam Dickey
• Burton F. Dickey, M.D.
• Devon Weidner Dickey, MD
• James Brandon Dickey, MD
• Maggie Dickey, PTA

• Addiction (Substance Use Disorder) Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.