Dixie Renee Santiago, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2007040 Issued in AR

Practice address

203B Westport Dr
Cabot, AR 72023-3657

Phone

(501) 843-9233

Fax

(501) 843-9656

NPI assigned

Sep 13, 2018

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dixie Drennan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1053298711
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1457834533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203B WESTPORT DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233657",
            "telephone_number": "501-843-9233",
            "fax_number": "501-843-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203B WESTPORT DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233657",
            "telephone_number": "501-843-9233",
            "fax_number": "501-843-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DIXIE",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2007040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242686719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "DRENNAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Russenberger II
• Cheria Russenberger, APN
• Ryan C. Martin DMD PLLC (Cabot Dental Group)
• Samuel F. Jirik DDS PA (Jirik Dental Group)
• Kayla R Sanders, APRN
• Tina Santoro, MS, CCC-SLP
• Jordan Sarno
• Holly Sarrels
• Cody Schaff, DPT
• Rachel Schlech

• Professional Counselor in Cabot, AR
• Providers in Cabot, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.