Active NPI
Demetrice Hughes Dixon, RSW
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1699448704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11371
- Practice address
- 11861 Coursey Blvd
Baton Rouge, LA 70816-4404 - Phone
- (225) 612-8656
- NPI assigned
- Jul 26, 2021
- 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 | 11371 | LA | Primary |
Addresses
Primary practice location
11861 Coursey Blvd
Baton Rouge, LA 70816-4404
Mailing address
1652 Fountain Ave
Baton Rouge, LA 70810-6702
Phone (504) 401-6675
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 |
|---|---|---|---|
| 11371 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1699448704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 FOUNTAIN AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106702",
"telephone_number": "504-401-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11861 COURSEY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164404",
"telephone_number": "225-612-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DEMETRICE",
"middle_name": "HUGHES",
"name_prefix": "Mrs.",
"credential": "RSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "11371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.