Active NPI
Brent James Dixon, MA LPC
- Professional Counselor
- Durango, CO
National Provider Identifier
1932544483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 0011419
- Practice address
- 2243 Main Ave
Durango, CO 81301-4699 - Phone
- (970) 422-7334
- Fax
- (303) 780-9192
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 0011419 | CO | Primary |
Addresses
Primary practice location
2243 Main Ave
Durango, CO 81301-4699
Mailing address
498 Oak Dr
Durango, CO 81301-7221
Phone (970) 331-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 0011419 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Way Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Denver, CO
- NPI 1801549316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1932544483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 OAK DR",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017221",
"telephone_number": "970-331-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 MAIN AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014699",
"telephone_number": "970-422-7334",
"fax_number": "303-780-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "BRENT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC 0011419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.