Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KYLE SCOTT DICKERSON
NPI 1366743346
Marriage & Family Therapist in Round Rock, TX

Active since November 08, 2010Opted out of Medicare · through Feb 19, 2027
3000 JOE DIMAGGIO BLVD STE 1, ROUND ROCK, TX 78665(512) 400-0196 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kyle Scott Dickerson NPPES

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

KYLE SCOTT DICKERSON (NPI 1366743346) is an individual marriage & family therapist in Round Rock, Texas, licensed in California (82938) and active in the NPI registry since November 2010. He has opted out of Medicare through February 19, 2027.

NPPES Registry Identity

NPI1366743346
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKYLE SCOTT DICKERSON
Location Address3000 JOE DIMAGGIO BLVD STE 1Round Rock, TX 78665-3989
Mailing Address3000 Joe Dimaggio Blvd Ste 1Round Rock, TX 78665-3989
Sole ProprietorNo
Enumeration DateNovember 8, 2010
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1366743346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 82938 Licensed in TX · 203128
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3000 JOE DIMAGGIO BLVD STE 1, Round Rock, TX 78665

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kyle Scott Dickerson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2025 through February 19, 2027.

Opt-Out Effective DateFebruary 19, 2025
Opt-Out In Effect ThroughFebruary 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
3000 JOE DIMAGGIO BLVD STE 1
ROUND ROCK, TX 78665
Marriage & Family Therapist
3000 JOE DIMAGGIO BLVD STE 1
ROUND ROCK, TX 78665

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 Kyle Dickerson's NPI number?

The NPI number for Kyle Dickerson is 1366743346. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Where is Kyle Dickerson located?

Kyle Dickerson practices at 3000 Joe Dimaggio Blvd Ste 1, Round Rock, TX 78665. The listed phone number is (512) 400-0196.

What is Kyle Dickerson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kyle Dickerson enrolled in Medicare?

No. Kyle Dickerson has opted out of Medicare through February 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kyle Dickerson accept?

Health plans from Blue Cross and Blue Shield of Texas list Kyle Dickerson 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 Kyle Dickerson was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.