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KIM ELIZABETH DYSON LPC
NPI 1811062953
Counselor - Mental Health in Theodore, AL

Active since November 22, 2006PECOS Enrolled
5600 GULF CREEK CIR, THEODORE, AL 36582(251) 209-1505(251) 433-5901 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kim Elizabeth Dyson Lpc NPPES

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

KIM ELIZABETH DYSON LPC (NPI 1811062953) is an individual mental health provider in Theodore, Alabama, licensed in Alabama (1811062953) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1811062953
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIM ELIZABETH DYSONCredential: LPC
Location Address5600 GULF CREEK CIRTheodore, AL 36582-2586
Mailing Address5600 Gulf Creek CirTheodore, AL 36582-2586 · (251) 209-1505 · Fax (251) 433-5901
Phone(251) 209-1505
Fax(251) 433-5901
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 22, 2006
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1811062953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AL · 1811062953
5600 GULF CREEK CIR, Theodore, AL 36582
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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 Alabama, Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Elizabeth Dyson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345684932
PECOS Enrollment IDI20240222002223, I20240222002415
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.

Frequently Asked Questions

What is Kim Dyson's NPI number?

The NPI number assigned to this healthcare provider is 1811062953, enumerated as an "individual" on November 22, 2006.

Where is the provider located?

The provider is located at 5600 GULF CREEK CIR THEODORE, AL 36582 and the phone number is (251) 209-1505.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Kim Dyson accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.