Individual provider Active NPI

Jamie L Dixon, CDCA, MBA

  • Addiction (Substance Use Disorder) Counselor
  • Lima, OH
National Provider Identifier
1396393344
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.167571 Issued in OH
Practice address
2727 Saint Johns Rd Ste D
Lima, OH 45804-4029
Phone
(567) 940-9145
Fax
(567) 940-9803
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.167571 OH Primary

Addresses

Primary practice location

2727 Saint Johns Rd Ste D
Lima, OH 45804-4029

Mailing address

2727 Saint Johns Rd Ste D
Lima, OH 45804-4029
Phone (567) 940-9145

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
CDCA.167571OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1396393344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 SAINT JOHNS RD STE D",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044029",
            "telephone_number": "567-940-9145",
            "fax_number": "567-940-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAINT JOHNS RD STE D",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044029",
            "telephone_number": "567-940-9145",
            "fax_number": "567-940-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CDCA, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.