John Davone Mixon Sr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

7240 E Southgate Dr Ste G
Sacramento, CA 95823-2627

Phone

(916) 391-4293

Fax

(916) 391-4247

NPI assigned

Oct 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Maxim Healthcare Services Inc

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1144682766
  NPD (past)
• Medmark Treatment Centers - Sacramento, Inc.

  • Methadone Clinic
  • Sacramento, CA
  • NPI 1255419172
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1861977134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 POWER INN RD APT B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 E SOUTHGATE DR STE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232627",
            "telephone_number": "916-391-4293",
            "fax_number": "916-391-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "JOHN",
        "middle_name": "DAVONE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohit Mittal, M.D
• Gianna Mitu
• Renee Yin Shen Miu, DO, DAOM, LAC
• Godfrey Frederick Mix, D.P.M.
• Azianee Mixon
• Rakiaya Shayree' Mixon, MSW
• Tanner Mixon, CRNA
• Ja'Cinta Mixson, PSY.D.
• Lauren S Miyamoto
• Sheridan Whalen Miyamoto, R.N., N.P.

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.