Healthcare Provider Details

I. General information

NPI: 1730093287
Provider Name (Legal Business Name): LIPPON COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 S KENTUCKY ST STE A125
AMARILLO TX
79102-2250
US

IV. Provider business mailing address

1616 S KENTUCKY ST STE A125
AMARILLO TX
79102-2250
US

V. Phone/Fax

Practice location:
  • Phone: 806-318-8711
  • Fax:
Mailing address:
  • Phone: 806-318-8711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAKOTA LIPPON
Title or Position: OWNER/THERAPIST
Credential:
Phone: 806-341-8485