John Michael Dixon, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4361 Issued in TN

Practice address

230 E James Campbell Blvd
St. 103 & 104
Columbia, TN 38401

Phone

(615) 462-6673

NPI assigned

Apr 13, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Camelot Care Centers, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD (past)

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1821617598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 MATTERHORN RUN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371308172",
            "telephone_number": "615-489-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E JAMES CAMPBELL BLVD",
            "address_2": "ST. 103 & 104",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "615-462-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Health Services LLC
• Divine Health Services, LLC
• Dana Dix, PHARMD, MBA
• Elizabeth Efird Dixon, LCSW
• Jalicia Deanne Dixon, MSW
• Linda D Dixon, LPC
• Dawn Michele Doak, M.A.
• Dobberstein Dentistry, P.L.L.C. (Creekside Family Dentistry)
• Lovie Dava Dobberstein, D.D.S.
• Becky Dodson

• Professional Counselor in Columbia, TN
• Providers in Columbia, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.