Dixie Faye Gregoire, SUDCC111-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1095 Issued in CA

Practice address

1410 F St Ste 101
Fresno, CA 93706-1608

Phone

(559) 457-2302

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kings View

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1912114349
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1053966788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 F ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061608",
            "telephone_number": "559-457-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 F ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061608",
            "telephone_number": "559-457-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "DIXIE",
        "middle_name": "FAYE",
        "credential": "SUDCC111-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarell Greer
• Raymond Charles Daniel Greer, PHD
• Vanessa R Greer, NP
• Greg a Leisle DDS Inc
• Greg Warner, MD, Incorporated
• Donald W. Gregory, M.D.,FACC
• Jacqueline Gregory, NP
• Joseph Edward Gregory, P.A.-C
• Richard Donald Gregory, MD
• Lauryn Elizabeth Gresham

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• 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.

Verify at the official NPI Registry.