Organization Active NPI

Dix & Gillette Counseling Services LLP

  • Psychologist
  • Wausau, WI
National Provider Identifier
1457320723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DIX & GILLETTE COUNSELING SERVICES LLP
Practice address
1720 Merrill Ave
Ste 401
Wausau, WI 54401
Phone
(715) 675-3888
Fax
(715) 675-2988
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Philip Dix, MSMFT CADC III
Title
Partner Psychotherapist
Phone
(715) 675-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1720 Merrill Ave
Ste 401
Wausau, WI 54401

Mailing address

1720 Merrill Ave
Ste 401
Wausau, WI 54401
Phone (715) 675-3888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457320723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MERRILL AVE",
            "address_2": "STE 401",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-675-3888",
            "fax_number": "715-675-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MERRILL AVE",
            "address_2": "STE 401",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54401",
            "telephone_number": "715-675-3888",
            "fax_number": "715-675-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIX & GILLETTE COUNSELING SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PARTNER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "715-675-3888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSMFT  CADC III"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.