Brina Dixon

Individual provider Active NPI Pastoral Counselor · Washington, DC

NPI 1124883632 · NPPES record last updated Feb 14, 2024

Key facts

NPI
1124883632
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
1420 Duncan St NE
Washington, DC 20002-5408
Phone
(202) 738-7721
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

1420 Duncan St NE
Washington, DC 20002-5408

Mailing address

1121 Arlington Blvd Apt 711
Arlington, VA 22209-3227
Phone (202) 977-7675

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2024.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1124883632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ARLINGTON BLVD APT 711",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093227",
            "telephone_number": "202-977-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 DUNCAN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025408",
            "telephone_number": "202-738-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Pastoral Counselor in District of Columbia

Sources for this page

Verify at the official NPI Registry.