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SHIRLECIA J DICKSON
NPI 1144080979
Counselor - Mental Health in Fort Worth, TX

Active since March 20, 2024PECOS Enrolled
4373 LAGUARDIA LN APT 6204, FORT WORTH, TX 76155(469) 386-5353 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shirlecia J Dickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLECIA J DICKSON (NPI 1144080979) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (89645) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144080979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHIRLECIA J DICKSON
Location Address4373 LAGUARDIA LN APT 6204Fort Worth, TX 76155-3526
Mailing Address4373 Laguardia Ln Apt 6204Fort Worth, TX 76155-3526
Phone(469) 386-5353
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2024
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1144080979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 89645
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
4373 LAGUARDIA LN APT 6204, Fort Worth, TX 76155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirlecia J Dickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719327972
PECOS Enrollment IDI20260409001002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shirlecia Dickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,126 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Idaho, Texas and Vermont enrollments
  • 138 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirlecia Dickson's NPI number?

The NPI number for Shirlecia Dickson is 1144080979. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Shirlecia Dickson located?

Shirlecia Dickson practices at 4373 Laguardia Ln Apt 6204, Fort Worth, TX 76155. The listed phone number is (469) 386-5353.

What is Shirlecia Dickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shirlecia Dickson enrolled in Medicare?

Yes. Shirlecia Dickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirlecia Dickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirlecia Dickson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirlecia Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirlecia Dickson accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Shirlecia Dickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirlecia Dickson was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.