Healthcare Provider Details

I. General information

NPI: 1598623043
Provider Name (Legal Business Name): BARBARA DIXON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W EMMITT AVE
WAVERLY OH
45690-1075
US

IV. Provider business mailing address

1734 WAKEFIELD MOUND RD
PIKETON OH
45661-9598
US

V. Phone/Fax

Practice location:
  • Phone: 866-534-2639
  • Fax: 800-480-7578
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2608161
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: