Individual provider Active NPI

Lidia Lynette Dailey, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Amarillo, TX
National Provider Identifier
1972987741
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10674 Issued in TX
Practice address
706 N Polk St
Amarillo, TX 79107-5248
Phone
(806) 803-9640
Fax
(877) 339-0645
NPI assigned
Jul 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 3883-4817 TX
Substance Abuse Rehabilitation Facility 324500000X 3883-4817 TX
Children's Substance Abuse Rehabilitation Facility 3245S0500X 3883-4817 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 10674 TX Primary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 3883-4817 TX

Addresses

Primary practice location

706 N Polk St
Amarillo, TX 79107-5248

Mailing address

PO Box 33046
Amarillo, TX 79120-3046
Phone (806) 471-3249

Other practice location 1

2321 50th St
Lubbock, TX 79412-2563
Phone (806) 471-3249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10674TXMDProfessional Counselor
3883-4817TXMDSubstance Use Disorder Rehabilitation Hospital Unit

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey Recovery Service Community/Behavioral Health Past Accepting new patients

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": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1972987741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33046",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791203046",
            "telephone_number": "806-471-3249",
            "fax_number": "877-339-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N POLK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075248",
            "telephone_number": "806-803-9640",
            "fax_number": "877-339-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 50th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794122563",
            "country_code": "US",
            "telephone_number": "806-471-3249",
            "fax_number": "877-339-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "LIDIA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "TX",
            "license": "3883-4817",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3883-4817",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "TX",
            "license": "3883-4817",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10674",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3883-4817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.