Individual provider Active NPI

Harry J Dixon, LMHC, LPCC, LPC, CST

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1104272244
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC4340 Issued in CA
Practice address
1223 Cleveland Ave # 200-245
San Diego, CA 92103-3301
Phone
(425) 296-9793
NPI assigned
May 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C8199 OR
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPCC4340 CA Primary
Mental Health Counselor 101YM0800X LH60684311 WA
Mental Health Counselor 101YM0800X 015648 NY

Addresses

Primary practice location

1223 Cleveland Ave # 200-245
San Diego, CA 92103-3301

Mailing address

1223 Cleveland Ave Ste 200-245
San Diego, CA 92103-3301
Phone (425) 296-9793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC4340CAMDMental Health Counselor
C8199ORMDMental Health Counselor
LH60684311WAMDMental Health Counselor
015648NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Connection Professional Clinical Counselor Service PC Mental Health CurrentSince Sep 5, 2021 Accepting new patients

Locations

1223 Cleveland Ave
#200245
San Diego, CA 92103
Phone (425) 296-9793

1223 Cleveland Ave
Ste 200
San Diego, CA 92103
Phone (619) 880-8626

1223 Cleveland Ave
Ste 200245
San Diego, CA 92103
Phone (425) 296-9793

300 Lenora St
Seattle, WA 98121
Phone (206) 623-7671

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1104272244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 CLEVELAND AVE STE 200-245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033301",
            "telephone_number": "425-296-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 CLEVELAND AVE # 200-245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033301",
            "telephone_number": "425-296-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "HARRY",
        "middle_name": "J",
        "credential": "LMHC, LPCC, LPC, CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8199",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC4340",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60684311",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.