Active NPI
Wendi Dawn Nixon, NCC, LPC
- Professional Counselor
- Elizabeth City, NC
National Provider Identifier
1013190057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4201
- Practice address
- 122 Foxboro Dr
Elizabeth City, NC 27909-7692 - Phone
- (866) 873-4173
- Fax
- (252) 337-7514
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4201 | NC | Primary |
Addresses
Primary practice location
122 Foxboro Dr
Elizabeth City, NC 27909-7692
Mailing address
PO Box 2442
Elizabeth City, NC 27906-2442
Phone (866) 873-4173
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4201 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1013190057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2442",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279062442",
"telephone_number": "866-873-4173",
"fax_number": "252-337-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 FOXBORO DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279097692",
"telephone_number": "866-873-4173",
"fax_number": "252-337-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "WENDI",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.