Michael Dixon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-20339 Issued in AZ

Practice address

11624 E Shea Blvd
Scottsdale, AZ 85259-5111

Phone

(480) 518-0004

NPI assigned

Oct 11, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Brave Hearts Wellness Center, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1568235224
  NPD (past)
• Pacific Coast Psychiatric Associates Inc

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465
  NPD (past)
• Sanctuary Sober Living LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1174236897
  NPD (past)
• Sanctuary Sober Living LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1235745035
  NPD (past)
• Sanctuary Sober Living LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1285346049
  NPD (past)
• Sanctuary Sober Living LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1457067670

  Counselor

  NPD (past)
• Sanctuary Sober Living LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1629649132

  Counselor

  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1851053458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29675 N NORTH VALLEY PKWY UNIT 2014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850784",
            "telephone_number": "317-517-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11624 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595111",
            "telephone_number": "480-518-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto E Divito, DDS
• Caroline Dixon
• Chyllia Dixon, PMHNP
• Harmony Dixon, MD
• Jenni J Dixon, MSN, RN, FNP-C
• Taylor Morgan Dixon, PA-C
• Tenasia Dixon, LMT
• DJD Healthcare, LLC
• Tamara Djurisic, MD
• Dkme Management Corporation

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.