Kimberley Dixon, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

21936 Issued in AZ

Practice address

1201 S Alma School Rd Ste 11000
Mesa, AZ 85210-2086

Phone

(480) 758-4698

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refined Mental Health and Wellness PLLC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1548902497
  Medicare reassignment NPD
• Dawn of a New Day Counseling

  • Counselor
  • Mesa, AZ
  • NPI 1629925714
  NPD Authorized official
• Desert View Counseling and Consulting, Inc.

  dba Desert View Counseling & Consulting

  • Mental Health Counselor
  • Peoria, AZ
  • NPI 1124173471
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1770286585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 E ENCANTO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055952",
            "telephone_number": "480-942-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD STE 11000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102086",
            "telephone_number": "480-758-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KIMBERLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "21936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Treatment Center LLC
• Divine Treatment Center LLC
• Divinity Healthcare Services, Inc. (Divinity Home Healthcare)
• Bridget Dixon
• Jessica Dixon, FNP
• Zachary Dixson, LPC
• Paul D Dizon, MD
• Maimuna Djama
• DL Professional Services LLC
• Dme2You LLC

• Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.