Individual provider Active NPI

Percival Chiquita Dyer, LPC, LMFT

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1891719944
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2120 Issued in LA
Practice address
371 Springfield Rd
Baton Rouge, LA 70807
Phone
(866) 311-7565
Fax
(866) 311-7565
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2120 LA Primary
Mental Health Counselor 101YM0800X 14015 TX
Marriage & Family Therapist 106H00000X 975 LA

Addresses

Primary practice location

371 Springfield Rd
Baton Rouge, LA 70807

Mailing address

PO Box 308
Baker,, LA 70704-0308
Phone (866) 311-7565

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
I20240621000608 TX Practitioner - Mental Health Counselor 3274076062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2800 Post Oak Blvd
Suite 4100
Houston, TX 77056-6145
Phone (866) 365-7579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14015TXMDAddiction (Substance Use Disorder) Counselor
2120LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Counseling Center, LLC CurrentSince Mar 30, 2024 Accepting new patients

Locations

2800 Post Oak Blvd
Ste 4100
Houston, TX 77056
Phone (281) 733-4757

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1891719944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "BAKER,",
            "state": "LA",
            "postal_code": "707040308",
            "telephone_number": "866-311-7565",
            "fax_number": "866-311-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SPRINGFIELD RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "866-311-7565",
            "fax_number": "866-311-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "PERCIVAL",
        "middle_name": "CHIQUITA",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2120",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14015",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.