Active NPI
Lamont Dixon
- Mental Health Counselor
- Milford, CT
National Provider Identifier
1003370313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 949 Bridgeport Ave
Milford, CT 06460-3142 - Phone
- (203) 878-6365
- NPI assigned
- Jan 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CT | Primary |
Addresses
Primary practice location
949 Bridgeport Ave
Milford, CT 06460-3142
Mailing address
949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039244 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Mirror Counseling & Outreach Services, PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Charlotte, NC
- NPI 1083563274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1003370313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 BRIDGEPORT AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603142",
"telephone_number": "203-878-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 BRIDGEPORT AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603142",
"telephone_number": "203-878-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LAMONT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039244",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.