Individual provider Active NPI

Malori Page Dixon, CCHMC, NCC

  • Mental Health Counselor
  • Port Orford, OR
National Provider Identifier
1164019147
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1403 Oregon St
Port Orford, OR 97456
Phone
(801) 746-9909
NPI assigned
Dec 24, 2020
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1403 Oregon St
Port Orford, OR 97456

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice location 1

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

Other practice location 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021003234 OR Practitioner - Mental Health Counselor 5193213288 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

PO Box
Suite 1121
Roseburg, OR 97470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt CurrentSince Sep 29, 2025 Accepting new patients
Adapt Mental Health Current Accepting new patients
Adapt CurrentSince Sep 29, 2025 Accepting new patients
Ut-Tex, Inc PastSince Dec 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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

Sources for this page

Verify at the official NPI Registry.