Individual provider Active NPI

Dixie Valdez, M.S.L.P.C.

  • Professional Counselor
  • Del Rio, TX
National Provider Identifier
1073666046
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15459 Issued in TX
Practice address
317 S Main St
Del Rio, TX 78840-5566
Phone
(830) 775-3171
Fax
(830) 775-4236
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15459 TX Primary

Addresses

Primary practice location

317 S Main St
Del Rio, TX 78840-5566

Mailing address

317 S Main St
Del Rio, TX 78840-5566
Phone (830) 775-3171

Other identifiers 2

IdentifierTypeStateIssuer
15459OtherTXLPC LICENSE NUMBER
6520LCOtherTXBCBS PROVIDER NUMBER

Other names 1

  • Dixie Dawn Underwood Former name

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

LicenseStateTypeSpecialty
15459TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073666046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405566",
            "telephone_number": "830-775-3171",
            "fax_number": "830-775-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405566",
            "telephone_number": "830-775-3171",
            "fax_number": "830-775-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "DIXIE",
        "credential": "M.S.L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "15459",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "6520LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "UNDERWOOD",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.