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David Vick , LPC

Counselor - Professional β€’ Keller, TX

Active NPI 1154931616 Individual Practitioner Male Practitioner
Practice location in NPPES

440 Johnson Rd Ste C
Keller, TX 762483465

Call 8174318900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

440 Johnson Rd Ste C

Keller, TX 762483465

Telephone 8174318900

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Vick has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Vick as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Keller and Texas

64 active clinicians are listed under Counselor - Professional with a practice address in Keller, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Keller

1.6% of these 64 clinicians have the CMS telehealth indicator.

9.4% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 78424
Counselor - School

NUCC Taxonomy Code: 101YS0200X

License # reported to NPPES TX 1507399
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260420002199

Enrollment State Jurisdiction

TX

PECOS Control ID

8729554472

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 10, 2023

Registered at 440 JOHNSON RD STE C, KELLER, TX 762483465 (Tel: 8174318900)

πŸ‘€
Provider Name / Credentials Updated September 10, 2023

Recorded as DAVID VICK, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2023

Counselor (license number reported to NPPES: TX 1507399)

βœ…
NPI Profile Active August 08, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2020

Registered at 185 S KIMBALL AVE STE 100, SOUTHLAKE, TX 760921524 (Tel: 8176750783)

πŸ“
Business Mailing Address (Initial Record) August 08, 2020

Registered at 6057 HILLTOP DR, WATAUGA, TX 761481359 (Tel: 8179295599)

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2020

Recorded as DAVID VICK, LPC INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2020

Counselor (license number reported to NPPES: TX 78424)

🟒
Initial NPI Registration & Enumeration August 08, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154931616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2020
Last Update: September 10, 2023
Sole Proprietor: Yes

Mailing Address

6057 Hilltop Dr

Watauga, TX 761481359

Phone: 8179295599

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.