Malori Page Dixon – Mental Health Counselor

Key facts

NPI: 1164019147
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 1403 Oregon St
Port Orford, OR 97456
Phone: (801) 746-9909
NPI assigned: Dec 24, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 4

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.

Adapt Addiction (Substance Use Disorder) Counselor · Roseburg, OR · NPI 1720010549

Medicare reassignment NPD MENTAL HEALTH · OR
Adapt Federally Qualified Health Center (FQHC) · Bandon, OR · NPI 1194529289

NPD
Adapt Community/Behavioral Health Agency · Brookings, OR · NPI 1760145338

NPD
Ut-Tex, Inc Psychiatric Residential Treatment Facility · Sandy, UT · NPI 1184089013

NPD (past)

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2021
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1121
Roseburg, OR 97470

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20251021003234	OR	Practitioner - Mental Health Counselor	5193213288	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Adapt	Mental Health	Current	Accepting new patients
Adapt		Current since Sep 29, 2025	Accepting new patients
Adapt		Current since Sep 29, 2025	Accepting new patients
Ut-Tex, Inc		Past since Dec 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

1403 Oregon St
Port Orford, OR 97456

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice location 1

1776 S Main St
Salt Lake City, UT 84115-1951
Phone (801) 446-6312

Other practice location 2

3149 E 9800 S
Sandy, UT 84092-4213
Phone (801) 746-9909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2025.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1164019147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 OREGON ST",
            "city": "PORT ORFORD",
            "state": "OR",
            "postal_code": "97456",
            "telephone_number": "801-746-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841151951",
            "country_code": "US",
            "telephone_number": "801-446-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3149 E 9800 S",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840924213",
            "country_code": "US",
            "telephone_number": "801-746-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MALORI",
        "middle_name": "PAGE",
        "name_prefix": "Ms.",
        "credential": "CCHMC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orford, OR

All providers in Port Orford, OR · Mental Health Counselor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.