Active NPI
Katrina Sue Dixon, LPC
- Mental Health Counselor
- West Chester, OH
National Provider Identifier
1619339074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700287
- Practice address
- 8904 Brookside Ave
West Chester, OH 45069-3139 - Phone
- (513) 644-1030
- Fax
- (513) 644-1025
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1700287 | OH | Primary |
Addresses
Primary practice location
8904 Brookside Ave
West Chester, OH 45069-3139
Mailing address
7570 Bales St # 380
Liberty Township, OH 45069-7516
Phone (513) 924-4953
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700287 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus on Youth, Inc. | Past | Accepting new patients | |
| Thrivepointe LTD | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- West Chester, OH
- NPI 1093139305
-
- Mental Health Counselor
- Liberty Township, OH
- NPI 1487168043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1619339074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 BALES ST # 380",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450697516",
"telephone_number": "513-924-4953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904 BROOKSIDE AVE",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693139",
"telephone_number": "513-644-1030",
"fax_number": "513-644-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KATRINA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1700287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.