Precious Fuflay Dixon, BSW, MA, ST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3655 Canton Rd
Suite 201
Marietta, GA 30066-2690

Phone

(678) 903-5197

NPI assigned

Dec 21, 2015

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

Master of Arts

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.

• Changing Phases Behavioral Support, Inc

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1497094205
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1134584980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CROSSING BLVD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538106",
            "telephone_number": "770-875-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 CANTON RD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662690",
            "telephone_number": "678-903-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "PRECIOUS",
        "middle_name": "FUFLAY",
        "name_prefix": "Mrs.",
        "credential": "BSW, MA, ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Dixon, DC
• Kisha A Dixon, LPC NCC
• Leda Dixon
• Maryum Dixon
• Mayi Dixon, LPC
• Sophia Grace Dizon
• Tai DO, MD
• Hien Thi Doan, M.D.
• Carey Dobbins-Sood, MD
• Amy Kathleen Dobbs, PT, DPT

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.