Individual provider Active NPI

Amber Lashay Dixon

  • Professional Counselor
  • Midlothian, TX
National Provider Identifier
1891572632
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87965 Issued in TX
Practice address
420 Hawkins Run Rd Ste 100
Midlothian, TX 76065-6654
Phone
(214) 530-2335
NPI assigned
Sep 14, 2023
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 87965 TX Primary

Addresses

Primary practice location

420 Hawkins Run Rd Ste 100
Midlothian, TX 76065-6654

Mailing address

420 Hawkins Run Rd Ste 100
Midlothian, TX 76065-6654
Phone (214) 530-2335

Other practice location 1

1500 Easy Rider Dr
DeSoto, TX 75115-1702
Phone (682) 337-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260618002424 TX Practitioner - Mental Health Counselor 7517439797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Medical District Dr
Dallas, TX 75235-7794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87965TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenyatta Black Counseling LLC Professional Past Accepting new patients
Virtually Speaking: Counseling and Consulting Services, LLC PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 3

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1891572632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HAWKINS RUN RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656654",
            "telephone_number": "214-530-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HAWKINS RUN RD STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656654",
            "telephone_number": "214-530-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Easy Rider Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751151702",
            "country_code": "US",
            "telephone_number": "682-337-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "AMBER",
        "middle_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.