Scott Edward Dixon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C060651802 Issued in WA

Practice address

22000 64TH Ave W # 2F
Mountlake Terrace, WA 98043-2500

Phone

(877) 522-1275

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1285187245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 W GAGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368108",
            "fax_number": "888-745-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 64TH AVE W # 2F",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432500",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "C060651802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon George Dewey, DC
• Anoosha Jawed Dhanani, BT
• Jose L Diaz, LSWAIC
• Robert Allen Diaz, LMHCA
• Ashley Dilworth
• Sara Donaldson
• Cole Richmond Donovan
• Tamara Anne Dow, B.S., NCACI
• James R Downey, MD
• Jerrald B Dreessen, DC CCSP

• Addiction (Substance Use Disorder) Counselor in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.