MK DIXON COUNSELING AND CONSULTING


Address: 105 Industrial Parkway, Lafayette, LA 70508
Phone: 3375011128

MK DIXON COUNSELING AND CONSULTING (NPI# 1306365457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306365457
Entity Type Organization
Organization Name MK DIXON COUNSELING AND CONSULTING
Other Organization Name BREAKTHROUGH THERAPEUTIC SERVICES
Practice Address 105 Industrial Parkway
Lafayette
LA 70508
Mailing Address 105 Industrial Pkwy
Lafayette
LA 70508-3207
Practice Telephone 3375011128
Enumeration Date 2017-09-10
Last Update Date 2020-01-07
Authorized Official Name KIZZY DIXON (PROGRAM MANAGER)
Authorized Official Telephone 3375340254
Authorized Official Credential LPC-S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
LA Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
LA 2461389 05

Other Provider/Organization Names

Other Name Type Code
Breakthrough Therapeutic Services Doing Business As Name - Organization

Office Location

Street Address 105 INDUSTRIAL PARKWAY
City LAFAYETTE
State LA
Zip Code 70508

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295333649 Wanda Kaye's Heart Community/Behavioral Health 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 2020-10-16
1376151969 Revived and Renewed Mental Health, LLC Community/Behavioral Health 4400 Ambassador Caffery Pkwy Ste A167, Lafayette, LA 70508-6760 2020-07-20
1316422470 The Family Connection Inc. Community/Behavioral Health 116 Natchitoches Dr, Lafayette, LA 70506-7876 2018-09-25
1477032910 Capitol Care, Inc. Community/Behavioral Health 22 Old Beaver Run Rd, Lafayette, NJ 07848-2004 2018-08-07
1265941595 Benjamin White Psychotherapy, Pllc Community/Behavioral Health 601 S Longmont Ave, Lafayette, CO 80026-1539 2017-09-29
1871023994 Nancy Bass Texada Community/Behavioral Health 525 South Buchanan, Lafayette, LA 70501 2017-06-13
1326571498 Natasha Deville Community/Behavioral Health 1408 W Willow St 162, Lafayette, LA 70506 2017-04-06
1609237569 K. Danielle Holmes, Lpc, LLC Community/Behavioral Health 143 Ridgeway Dr Ste 127, Lafayette, LA 70503-3414 2016-03-18
1588030571 Chad Franks Counseling Community/Behavioral Health 143 Ridgeway Dr Ste 217, Lafayette, LA 70503-3410 2015-08-13
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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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