Active NPI
Julie Lyn Dixon, L.C.P.C.
- Professional Counselor
- Stevensville, MD
National Provider Identifier
1437181096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0989
- Practice address
- 721 Main St
Suite 100
Stevensville, MD 21666-4068 - Phone
- (410) 490-6852
- Fax
- (410) 604-3704
- NPI assigned
- Jul 6, 2006
- Last updated
- Dec 16, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC0989 | MD | Primary |
Addresses
Primary practice location
721 Main St
Suite 100
Stevensville, MD 21666-4068
Mailing address
200 Wye Rd
Queenstown, MD 21658-1189
Phone (410) 827-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3331229 00 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240923000760 | MD | Practitioner - Mental Health Counselor | 0143221093 | Practice locations: Stevensville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
721 Main St
Suite 100
Stevensville, MD 21666-4069
Phone (410) 490-6852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1437181096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WYE RD",
"city": "QUEENSTOWN",
"state": "MD",
"postal_code": "216581189",
"telephone_number": "410-827-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MAIN ST",
"address_2": "SUITE 100",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216664068",
"telephone_number": "410-490-6852",
"fax_number": "410-604-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "JULIE",
"middle_name": "LYN",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3331229 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.