Individual provider Active NPI

Randal Merrell Dixon, LMHC

  • Mental Health Counselor
  • Lehi, UT
National Provider Identifier
1629348933
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
426481-6004 Issued in UT
Practice address
3051 W Maple Loop Dr Ste 210
Lehi, UT 84043-4602
Phone
(801) 872-5516
NPI assigned
Jan 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C3775 OR
Mental Health Counselor 101YM0800X LH60522557 WA
Student in an Organized Health Care Education/Training Program 390200000X 4264816009 UT
Mental Health Counselor 101YM0800X 426481-6004 UT Primary

Addresses

Primary practice location

3051 W Maple Loop Dr Ste 210
Lehi, UT 84043-4602

Mailing address

5965 S 900 E Ste 100
Murray, UT 84121-1850
Phone (801) 872-5516

Other practice location 1

5965 S 900 E Ste 100
Murray, UT 84121-1850
Phone (801) 872-5516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621003551 UT Practitioner - Mental Health Counselor 5597208256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

3051 W Maple Loop Dr
Suite 210
Lehi, UT 84043-4602
Phone (801) 872-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3775ORMDCounselor
LH60522557WAMDMental Health Counselor
4264816009UTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.randaldixon@154909.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1629348933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211850",
            "telephone_number": "801-872-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 210",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434602",
            "telephone_number": "801-872-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5965 S 900 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211850",
            "country_code": "US",
            "telephone_number": "801-872-5516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "RANDAL",
        "middle_name": "MERRELL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C3775",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60522557",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "4264816009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "426481-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.