Cedric R Dunmore, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8987 Issued in TN

Practice address

821 Grand Avenue Pkwy Ste 108
Pflugerville, TX 78660-2197

Phone

(512) 786-3384

Fax

(512) 551-2619

NPI assigned

Jan 23, 2018

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

Practice roles

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.

• Renovating Dynasties Counseling Services, PLLC

  • Mental Health Counselor
  • Pflugerville, TX
  • NPI 1508364993

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1861990905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2113",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786912113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 GRAND AVENUE PKWY STE 108",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602197",
            "telephone_number": "512-786-3384",
            "fax_number": "512-551-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMORE",
        "first_name": "CEDRIC",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "8987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Duarte I
• David Duarte Jr., NA
• Chloe Dubose
• Brett Duncan, PHARM.D.
• Ryan Michael Duncan, PHARMD
• Debbie Ann Dunmore, MED, LPC
• Thomas Joseph Dunn
• Sharon Kay Dunnivan-Mitchell, P.T.
• Karen Duong
• Durden Physical Therapy PLLC

• All providers in Pflugerville, TX
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.