Individual provider Active NPI

Michael Philip Dix, M.S.M.F.T

  • Addiction (Substance Use Disorder) Counselor
  • Wausau, WI
National Provider Identifier
1487776985
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
487-132 Issued in WI
Practice address
1720 Merrill Ave
Suite 401
Wausau, WI 54401-3429
Phone
(715) 675-3888
Fax
(715) 675-2988
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 487-132 WI Primary
Marriage & Family Therapist 106H00000X 19-124 WI

Addresses

Primary practice location

1720 Merrill Ave
Suite 401
Wausau, WI 54401-3429

Mailing address

1720 Merrill Ave
Suite 401
Wausau, WI 54401-3429
Phone (715) 675-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
487-132WIMDAddiction (Substance Use Disorder) Counselor
19-124WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487776985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MERRILL AVE",
            "address_2": "SUITE 401",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013429",
            "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": "SUITE 401",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013429",
            "telephone_number": "715-675-3888",
            "fax_number": "715-675-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "M.S.M.F.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "487-132",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "19-124",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.