Individual provider Active NPI

Kathryn Emily Dumond, M.ED., LPC-INTERN

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1730377540
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62848 Issued in TX
Practice address
3611 Swiss Ave
Dallas, TX 75204-6245
Phone
(214) 818-2652
Fax
(818) 214-2645
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62848 TX Primary

Addresses

Primary practice location

3611 Swiss Ave
Dallas, TX 75204-6245

Mailing address

3611 Swiss Ave
Dallas, TX 75204-6245
Phone (214) 818-2652

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618001228 TX Practitioner - Mental Health Counselor 1153893391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Medical District Dr
Dallas, TX 75235-7794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
62848TXMDClinical Social Worker

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1730377540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046245",
            "telephone_number": "214-818-2652",
            "fax_number": "818-214-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046245",
            "telephone_number": "214-818-2652",
            "fax_number": "818-214-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOND",
        "first_name": "KATHRYN",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.