Ebony Dixon, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0043246 Issued in OH

Practice address

30841 Euclid Ave Ste 201
Willoughby, OH 44094-3100

Phone

(440) 249-7695

NPI assigned

Oct 13, 2025

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

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.

• Exodus Counseling Services LLC

  dba Exodus Clinical Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Willoughby, OH
  • NPI 1689074023
  NPD (past)

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1114893625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 WILBURN DR",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30841 EUCLID AVE STE 201",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943100",
            "telephone_number": "440-249-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "EBONY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0043246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry A. Dinner, PH.D.
• Kimberly Kirk Dioneff
• Lindsey Distler
• Clara S Divito
• Carolyn Theresa Dixon, CNP
• DNP Consulting LLC
• Mihaela Donca, M.D.
• James Francis Donohue, MD
• Tracy Doran, LPCC-S
• Timothy P Doyle, MD

• Psychiatric/Mental Health Nurse Practitioner in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.