Active NPI
Meshai Dixon-Olivares, LMFT
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1215595186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT002001
- Practice address
- 1039 Grant St SE
Atlanta, GA 30315-2014 - Phone
- (478) 215-2304
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT002001 | GA | Primary |
| Mental Health Counselor | 101YM0800X | APC006759 | GA |
Addresses
Primary practice location
1039 Grant St SE
Atlanta, GA 30315-2014
Mailing address
4158 Valley Dr SW
Lilburn, GA 30047-4052
Phone (678) 677-0295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC006759 | GA | MD | Mental Health Counselor |
| MFT002001 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1215595186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 VALLEY DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474052",
"telephone_number": "678-677-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 GRANT ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303152014",
"telephone_number": "478-215-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON-OLIVARES",
"first_name": "MESHAI",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2024-10-31",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT002001",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC006759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.