Individual provider Active NPI

Julie Lyn Dixon, L.C.P.C.

  • Professional Counselor
  • Stevensville, MD
National Provider Identifier
1437181096
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0989 Issued in MD
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3331229 00MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.