Healthcare Provider Details

I. General information

NPI: 1154508240
Provider Name (Legal Business Name): DEBRA KAYE NIXON M.A., L.C.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10985 CODY ST STE 105
OVERLAND PARK KS
66210-1240
US

IV. Provider business mailing address

13228 W 132ND ST
OVERLAND PARK KS
66213-2387
US

V. Phone/Fax

Practice location:
  • Phone: 913-815-0522
  • Fax:
Mailing address:
  • Phone: 913-439-1789
  • Fax: 913-439-1789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2239
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2013038604
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number295093
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: