Individual provider Active NPI

Ciara T Dixon, MS, LPC

  • Professional Counselor
  • Wentzville, MO
National Provider Identifier
1205313491
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018025908 Issued in MO
Practice address
71 Wessex CT
Wentzville, MO 63385-4398
Phone
(314) 649-7491
Fax
(855) 674-1812
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2018025908 MO
Counselor 101Y00000X 2018025908 MO
Professional Counselor 101YP2500X 2018025908 MO Primary

Addresses

Primary practice location

71 Wessex CT
Wentzville, MO 63385-4398

Mailing address

71 Wessex CT
Wentzville, MO 63385-4398
Phone (314) 649-7491

Other practice location 1

111 Church Street
Suite 103
St. Louis, MO 63135
Phone (314) 649-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260115002432 MO Practitioner - Mental Health Counselor 8820574296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 Wessex CT
Wentzville, MO 63385-4398
Phone (314) 649-7491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2018025908MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nucreatures Counseling and Performance LLC Counselor CurrentSince Dec 24, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1205313491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WESSEX CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854398",
            "telephone_number": "314-649-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WESSEX CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854398",
            "telephone_number": "314-649-7491",
            "fax_number": "855-674-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Church Street",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63135",
            "country_code": "US",
            "telephone_number": "314-649-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CIARA",
        "middle_name": "T",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018025908",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2018025908",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018025908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.