Individual provider Active NPI

Brianna F Dixon, MA, LPC

  • Professional Counselor
  • Davison, MI
National Provider Identifier
1932574902
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
805 S State Rd # 182
Davison, MI 48423-1751
Phone
(810) 379-0212
NPI assigned
Dec 2, 2015
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 Primary

Addresses

Primary practice location

805 S State Rd # 182
Davison, MI 48423-1751

Mailing address

805 S State Rd # 182
Davison, MI 48423-1751
Phone (810) 379-0212

Other identifiers 1

IdentifierTypeStateIssuer
1932574902MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231211003464 MI Practitioner - Mental Health Counselor 4082077961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Central Michigan College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

805 S State Rd
Suite 182
Davison, MI 48423-1751
Phone (810) 379-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Brianna Dixon, LLPC, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Holy Cross Youth and Family Services Inc Past Accepting new patients
Boysville of Michigan, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

805 S State Rd
#182
Davison, MI 48423
Phone (810) 379-0212

805 S State Rd
Ste 182
Davison, MI 48423

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1932574902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S STATE RD # 182",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751",
            "telephone_number": "810-379-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S STATE RD # 182",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751",
            "telephone_number": "810-379-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRIANNA",
        "middle_name": "F",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2022-04-21",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932574902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.