Justin Waddell Dixon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011646 Issued in VA

Practice address

113 Yeardley Ave
Lynchburg, VA 24501-3641

Phone

(757) 236-4072

NPI assigned

Aug 9, 2022

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Kaizen Counseling and Consultation

  • Professional Counselor
  • Wilmington, NC
  • NPI 1891652145
  NPD Authorized official
• Horizon Behavioral Health

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1871542340
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1528796554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 YEARDLEY AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245013641",
            "telephone_number": "757-236-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 YEARDLEY AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245013641",
            "telephone_number": "757-236-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JUSTIN",
        "middle_name": "WADDELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Ditto, M.ED
• Marsha Divers-Wiggs, LPC
• Crystal Nicole Dixon-Valentine
• Devonne Dixon
• Duane E Dixon, M.D.
• Kristine Marie Dixon
• Stacy Dixon
• Kristin Doan, MA
• Revie Jane Mae Dobkin
• Randy Dodge

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.