MR. DWIGHT D PATRICK LPC
NPI 1467896803
Counselor - Professional in Addison, TX

Active since April 27, 2013Opted out of Medicare · through Mar 12, 2027
16901 DALLAS PKWY, ADDISON, TX 75001(972) 372-4982 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dwight D Patrick Lpc NPPES

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

MR. DWIGHT D PATRICK LPC (NPI 1467896803) is an individual professional provider in Addison, Texas, licensed in Texas (70023) and active in the NPI registry since April 2013. He has opted out of Medicare through March 12, 2027.

NPPES Registry Identity

NPI1467896803
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DWIGHT D PATRICKCredential: LPC
Location Address16901 DALLAS PKWYAddison, TX 75001-5226
Mailing Address806 Saint Andrews CtGarland, TX 75043-5626 · (972) 372-4982 · Fax (972) 387-3987
Sole ProprietorYes
Enumeration DateApril 27, 2013
Last NPPES UpdateApril 24, 2018
NPI 1467896803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 70023
16901 DALLAS PKWY, Addison, TX 75001

Other Names 1

Other Name (5)Mr. Ike Patrick Lpc Intern

Other Identifiers 1

Other70023TX · Lpc License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Dwight D Patrick Lpc 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 March 12, 2025 through March 12, 2027.

Opt-Out Effective DateMarch 12, 2025
Opt-Out In Effect ThroughMarch 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

General Practice
16901 DALLAS PKWY, STE 208
ADDISON, TX 75001
Allergy & Immunology
16901 DALLAS PKWY, SUITE 206
ADDISON, TX 75001
Psychiatry & Neurology (Child & Adolescent Psychiatry)
16901 DALLAS PKWY, SUITE 106
ADDISON, TX 75001
General Practice
16901 DALLAS PKWY, STE 208
ADDISON, TX 75001
Psychiatry & Neurology (Psychiatry)
16901 DALLAS PKWY, SUITE 106
ADDISON, TX 75001

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 Dwight Patrick's NPI number?

The NPI number for Dwight Patrick is 1467896803. It was assigned to this individual provider in the NPPES registry on April 27, 2013. The provider is also known as Mr. Ike Patrick Lpc Intern.

Where is Dwight Patrick located?

Dwight Patrick practices at 16901 Dallas Pkwy, Addison, TX 75001. The listed phone number is (972) 372-4982.

What is Dwight Patrick's specialty?

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

Is Dwight Patrick enrolled in Medicare?

No. Dwight Patrick has opted out of Medicare through March 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dwight Patrick was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.