MK Dixon Counseling & Consulting LLC
Organization Active NPI Community/Behavioral Health Agency · Lafayette, LA
NPI 1306365457 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1306365457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MK DIXON COUNSELING & CONSULTING LLC
- Practice address
- 105 Industrial Parkway
Lafayette, LA 70508 - Phone
- (337) 501-1128
- NPI assigned
- Sep 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Kizzy Dixon, LPC-S
- Title
- Program Manager
- Phone
- (337) 534-0254
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Practitioners 21
-
Sierra Boutte, LCSW
-
Dania Broussard, MHP
-
Hollis Letrice Davis, MHP
-
Dala Stansbury, MBA
-
Gianni Eguakun, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251118001029 | LA | Part B Supplier - Clinic/Group Practice | 9739670787 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Franklin, LA; Lafayette, LA |
National Provider Directory
- Tax ID family
- MK Dixon CNSL Consulting
Locations
105 Industrial Pkwy
Lafayette, LA 70508
Phone (337) 501-1128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | LA | ||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
105 Industrial Parkway
Lafayette, LA 70508
Mailing address
105 Industrial Pkwy
Lafayette, LA 70508-3207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2461389 | Medicaid | LA |
Other names
- Breakthrough Therapeutic Services
Other providers in Lafayette, LA
- Sarah Miller Mitchell
- Jolie Gardner Mixon
- Jonathan Lamont Mixon
- William Donner Mizelle
- MK Dixon Counseling & Consulting LLC
- Mobile Care, Inc
- Mobile Diagnostics of Lafayette LLC
- Mobile Imaging and Diagnostics, LLC
- Mobile X-Ray of Louisiana, LLC
- Mobile X-Ray of Louisiana, LLC
All providers in Lafayette, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.