Active NPI
Sandra Cralicia Dixon, RMHCI
- Mental Health Counselor
- Land O Lakes, FL
National Provider Identifier
1366240764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH26048
- Practice address
- 10993 Wishing Cloud Rd
Land O Lakes, FL 34638-0275 - Phone
- (727) 919-2001
- NPI assigned
- Mar 3, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH26048 | FL | Primary |
Addresses
Primary practice location
10993 Wishing Cloud Rd
Land O Lakes, FL 34638-0275
Mailing address
3592 Broadway FL 33901
Fort Myers, FL 33901-8055
Phone (727) 919-2001
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 |
|---|---|---|---|
| IMH26048 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1366240764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3592 BROADWAY FL 33901",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018055",
"telephone_number": "727-919-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10993 WISHING CLOUD RD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346380275",
"telephone_number": "727-919-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "SANDRA",
"middle_name": "CRALICIA",
"credential": "RMHCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH26048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
- District School Board of Pasco County
- Dna Comprehensive Therapy Services, LLC
- Brian Christopher Doane, PH.D
- Cori Layne Dobrzanski, M.S., CCC-SLP
- Donna Elaine Harrell
- Rebecca Jane Donnelly
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.