Organization Active NPI

Nixon Counseling and Consulting Service, LLC

  • Clinical Psychologist
  • Wyndmoor, PA
National Provider Identifier
1033037478
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NIXON COUNSELING AND CONSULTING SERVICE, LLC
Practice address
1020 E Willow Grove Ave
Wyndmoor, PA 19038-7938
Phone
(267) 317-7716
Fax
(267) 576-4937
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shonda Nixon
Title
Licensed Clinical Psychologist
Phone
(267) 317-7716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1020 E Willow Grove Ave
Wyndmoor, PA 19038-7938

Mailing address

1020 E Willow Grove Ave
Wyndmoor, PA 19038-7938
Phone (267) 317-7716

National Provider Directory

National Provider Directory

Locations

1020 E Willow Grove Ave
Wyndmoor, PA 19038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1033037478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E WILLOW GROVE AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387938",
            "telephone_number": "267-317-7716",
            "fax_number": "267-576-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E WILLOW GROVE AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387938",
            "telephone_number": "267-317-7716",
            "fax_number": "267-576-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIXON COUNSELING AND CONSULTING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "267-317-7716",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.