Organization Active NPI

Dixon Family Counseling, Inc

  • Counselor
  • Madison, OH
National Provider Identifier
1760811103
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0008441 Issued in OH
Legal business name
DIXON FAMILY COUNSELING, INC
Practice address
15 W Main St
Madison, OH 44057-3125
Phone
(440) 417-0006
Fax
(440) 417-0006
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Ms. Marti Milliken Dixon, MA, PCC-S
Title
Owner
Phone
(440) 417-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X E0008441 OH Primary

Addresses

Primary practice location

15 W Main St
Madison, OH 44057-3125

Mailing address

15 W Main St
Madison, OH 44057-3125
Phone (440) 417-0006

Other identifiers 1

IdentifierTypeStateIssuer
E0008441OtherOHSTATE

National Provider Directory

National Provider Directory

Locations

15 W Main St
Madison, OH 44057
Phone (440) 428-0118

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1760811103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W MAIN ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573125",
            "telephone_number": "440-417-0006",
            "fax_number": "440-417-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MAIN ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573125",
            "telephone_number": "440-417-0006",
            "fax_number": "440-417-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON FAMILY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "MILLIKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-417-0006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, PCC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0008441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "E0008441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.