DAVID VICK LPC - NPI 1154931616 - Counselor in Keller, TX

Q: What is David Vick's NPI number?

The NPI number for David Vick is 1154931616. It was assigned to this individual provider in the NPPES registry on August 8, 2020.

Q: What is David Vick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for David Vick was last updated on September 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About David Vick Lpc NPPES

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

DAVID VICK LPC (NPI 1154931616) is an individual professional provider in Keller, Texas, licensed in Texas (78424) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154931616

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDAVID VICKCredential: LPC

Location Address440 JOHNSON RD STE CKeller, TX 76248-3465

Mailing Address6057 Hilltop DrWatauga, TX 76148-1359 · (817) 929-5599

Phone(817) 431-8900

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 8, 2020

Last NPPES UpdateSeptember 10, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2023

✔ NPI 1154931616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 78424

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 1507399 (TX)

440 JOHNSON RD STE C, Keller, TX 76248

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Vick Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729554472

PECOS Enrollment IDI20260420002199

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA ELIZABETH SPIVEY LPC-ASSOCIATE

Counselor (Mental Health)