DIXIE L JACKSON (NPI# 1396917266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396917266 |
| Entity Type | Individual |
| Full Name | DIXIE L JACKSON |
| Credential | LPC |
| Practice Address |
800 E Blackhawk Ave Prairie Du Chien WI 53821-1698 |
| Practice Telephone | 6083260808 |
| Practice Fax Number | 6083260810 |
| Mailing Telephone | 6083260808 |
| Mailing Fax Number | 6083260810 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 3842 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3842 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43713500 | 05 |
| Street Address |
800 E BLACKHAWK AVE |
| City | PRAIRIE DU CHIEN |
| State | WI |
| Zip Code | 53821-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886312 | Robert T Key | Family Medicine | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2005-10-26 |
| 1003453119 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2019-12-09 |
| 1275028953 | Lynette R Kansier | Counselor | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2018-06-26 |
| 1609262211 | Joshua Gerrity | Social Worker | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 | 2015-04-09 |
| 1386922144 | Colleen P Teynor | Social Worker | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 | 2011-07-28 |
| 1407890809 | Sara L Winters | Physician Assistant | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2006-06-15 |
| 1023008539 | Michael J Rogge | Family Medicine | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2005-10-26 |
| 1912997438 | David B Dehart | Family Medicine | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821539107 | Morgan Jewell Faulkner | Occupational Therapist | 700 S. Fremont St., Prairie Du Chien, WI 53821 | 2017-03-20 |
| 1710397039 | Kristina Lorene Thompson | Podiatrist | 37868 Us-18, Prairie Du Chien, WI 53821 | 2014-05-08 |
| 1952551525 | Stacy L. Blackburn | Family Medicine | 800 Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2008-09-19 |
| 1124276985 | Lori Knapp Crawford, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2008-09-05 |
| 1386774834 | Jan R Kieser | Dentist | 7265 Beaumont Rd, Prairie Du Chien, WI 53821 | 2007-03-06 |
| 1437239209 | Bruce Lee Pomerening | Dentist | 109 South Beaumont Rd, Prairie Du Chien, WI 53821 | 2006-10-16 |
| 1386738078 | Edwin Herbert Neumann | Optometrist | 38020 Hwy 18, Prairie Du Chien, WI 53821 | 2006-10-03 |
| 1063515179 | Dental Associates of Prairie Du Chien PC | Dentist | 820 S Marquette Rd, Prairie Du Chien, WI 53821 | 2006-09-06 |
| 1811947492 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 800 East Blackhawk Avenue, Prairie Du Chien, WI 53821 | 2006-05-12 |
| 1497759070 | Sara J Rybarczyk | Internal Medicine | 610 East Taylor St, Prairie Du Chien, WI 53821 | 2005-06-10 |
| Find all providers in zip 53821 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380189 | Mary K Sprosty | Counselor | 225 N Beaumont Rd Ste 326, Prairie Du Chien, WI 53821-1445 | 2015-07-06 |
| 1275028953 | Lynette R Kansier | Counselor | 800 E Blackhawk Ave, Prairie Du Chien, WI 53821-1698 | 2018-06-26 |
| 1306283403 | Darlene M Meiners | Counselor | 705 S Buchanan St, Prairie Du Chien, WI 53821-2344 | 2013-05-29 |
| 1760829170 | Jennifer Ann Williams | Counselor | 225 N Beaumont Rd, Suite 326, Prairie Du Chien, WI 53821-1445 | 2013-05-24 |
| 1992743355 | Sandra Lou Drobnick | Counselor | 225 N Beaumont Rd, Suite 326, Prairie Du Chien, WI 53821-1445 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU CHIEN |
| Zip Code | 53821 |
Please comment or provide details below to improve the information on DIXIE L JACKSON.
| 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.