Individual provider Active NPI

Tamitha R Dixon

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1780965251
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013
Phone
(725) 257-9639
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X
Case Manager/Care Coordinator 171M00000X
Rehabilitation Practitioner 225400000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

526 S Tonopah Dr Ste 200
Las Vegas, NV 89106-4013

Mailing address

64 Playa del Coco CT Ste 158
Henderson, NV 89074-8105
Phone (702) 544-3672

Other practice location 1

4440 S Maryland Pkwy
Suite 101
Las Vegas, NV 89119-7527
Phone (702) 277-9424

Other practice location 2

2575 S Cimarron Rd Ste 200
Las Vegas, NV 89117-2682
Phone (702) 635-9900

Other names 1

  • Ms. Tamitha R Dodson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20241010002152 NV Practitioner - Mental Health Counselor 4688106040 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JD Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
JD Medical Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Excel Home Care Agency Counselor Past Accepting new patients

Locations

3601 W Sahara Ave
Ste 208
Las Vegas, NV 89102
Phone (702) 570-3624

3601 W Sahara Ave
Ste 211
Las Vegas, NV 89102
Phone (702) 606-1161

Organizations & group practices 4

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1780965251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PLAYA DEL COCO CT STE 158",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748105",
            "telephone_number": "702-544-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064013",
            "telephone_number": "725-257-9639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 S Maryland Pkwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197527",
            "country_code": "US",
            "telephone_number": "702-277-9424",
            "fax_number": "702-642-5722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 S Cimarron Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891172682",
            "country_code": "US",
            "telephone_number": "702-635-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TAMITHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMITHA",
            "last_name": "DODSON",
            "middle_name": "R",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.