Charles Thomas Dixon, M.S., NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11458 Issued in NC

Practice address

913 N Carolina Ave
Statesville, NC 28677-3414

Phone

(704) 871-0934

NPI assigned

Sep 2, 2015

Sex

Male

Sole proprietor

No

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.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713

  Mental Health, NC

  Medicare reassignment Care Compare group NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1770335382
  Care Compare group
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Clinic Pharmacy
  • Greenville, NC
  • NPI 1841042454
  Care Compare group
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1942362884
  NPD

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easter Seals Ucp North Carolina and Virginia, Inc. 49 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2015.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1992173363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N CAROLINA AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773414",
            "telephone_number": "704-871-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N CAROLINA AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773414",
            "telephone_number": "704-871-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "M.S., NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diakonos, Inc.
• Roy Dickenson, LPN
• Rodney Lee Dingess, C.R.N.A.
• Christopher John Dirig, DDS
• Rachel Beth Disanto, M.D.
• Lori M Dixon, RN, MSN, ANP-BC
• Shanika Evette Dixon, DA
• Mary Brianna Dobbins Jones, AUD
• Jocelyn Peay Dobbins, DC
• James R Dobson, CPSS-V CADC

• All providers in Statesville, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.