Rhonda Denise Dyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26544 Issued in TX

Practice address

496 Shayla LN
Canyon Lake, TX 78133

Phone

(512) 731-9704

Fax

(866) 278-0186

NPI assigned

May 11, 2007

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forest Creek Counseling LLC

  • Clinical Social Worker
  • Canyon Lake, TX
  • NPI 1336798990
  NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1871708933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SHAYLA LN",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "78133",
            "telephone_number": "512-731-9704",
            "fax_number": "866-278-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SHAYLA LN",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "78133",
            "telephone_number": "512-731-9704",
            "fax_number": "866-278-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "RHONDA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "26544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713315-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Alline Denmark, RBT
• Susan M Doane, RN
• Don S Coleman
• James J Dougherty, MD
• Dudycha Chiropractic
• Victoria Lynn Elley, LPC
• End2Begin (Kkctx)
• Sandee R Fabling, D.C.
• Cherise Farmer-Miles, LPC
• Fisher First Care LLC (Home Helpers Home Care of Boerne, TX)

• Clinical Social Worker in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.