NPIMap

Organization Active NPI

Byron Dixon LLC

Doing business as Byron Dixon

  • Mental Health Counselor
  • Nampa, ID
National Provider Identifier
1467973586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-6465 Issued in ID
Legal business name
BYRON DIXON LLC
Doing business as
Byron Dixon
Byron Dixon NCC, LPC
Practice address
1219 4TH St S
Nampa, ID 83651-4222
Phone
(208) 371-4587
Fax
(208) 463-3303
NPI assigned
Jun 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Byron Nicholas Dixon, LPCNPI 1043664295
Title
Owner
Phone
(208) 371-4587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-6465 ID Primary

Addresses

Primary practice location

1219 4TH St S
Nampa, ID 83651-4222

Mailing address

1219 4TH St S
Nampa, ID 83651-4222
Phone (208) 371-4587

Other identifiers 1

IdentifierTypeStateIssuer
1043664295OtherIDREGENCE BLUE SHIELD OF IDAHO

Other names 2

  • Byron Dixon Doing business as
  • Byron Dixon NCC, LPC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467973586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 4TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514222",
            "telephone_number": "208-371-4587",
            "fax_number": "208-463-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 4TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514222",
            "telephone_number": "208-371-4587",
            "fax_number": "208-463-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON DIXON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-371-4587",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF IDAHO",
            "identifier": "1043664295",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byron Dixon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Byron Dixon NCC, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.