Megan Kathleen Dixon, PLPC

Key facts

NPI

1003680778

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

2023045273 (MO)

Practice address

12312 Mo-21
Desoto, MO 63020

Phone

(636) 249-9993

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 13, 2023.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1003680778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHRISTINA DR",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630701643",
            "telephone_number": "636-448-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12312 MO-21",
            "city": "DESOTO",
            "state": "MO",
            "postal_code": "63020",
            "telephone_number": "636-249-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023045273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, MO

• John Leo Agers, DDS
• Desoto Residential Care Apts Inc
• John W Dickinson, DDS
• Terence A. Friskel, D.D.S.
• Living Well Counseling, LLC
• Midwest Medical Practitioners LLC
• Steven Crawford
• Sydney Young

All providers in Desoto, MO · Mental Health Counselor in Missouri