Active NPI
Olivia Rose Dixon, LPC
- Mental Health Counselor
- Troy, MI
National Provider Identifier
1669954772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401016817
- Practice address
- 888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762 - Phone
- (248) 244-8644
- NPI assigned
- Sep 5, 2018
- 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 | 6401016817 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Mailing address
2632 S Rochester Rd
Rochester Hills, MI 48307-7900
Phone (248) 506-2637
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 |
|---|---|---|---|
| 6401016817 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Grit, LLC | Current | Accepting new patients | |
| RMJ1 | 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.
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- NPI 1841853850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1669954772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2632 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483077900",
"telephone_number": "248-506-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 1450",
"city": "TROY",
"state": "MI",
"postal_code": "480844762",
"telephone_number": "248-244-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "OLIVIA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401016817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.