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Deactivated NPI 1407187149 Deactivated / Inactive NPI Female Practitioner

Lisa Ann Dixon , LPC

Counselor - Professional • Clearfield, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Dixon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2010
NPI Deactivation Date January 17, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Dixon, LPC was a registered Counselor - Professional practicing in Clearfield, UT. Throughout an active medical career spanning 12 years, Lisa Dixon provided care at the practice location at 189 S STATE ST until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

189 S State St
160

Clearfield, UT 840151061

Telephone 8017732044
Fax 8017734826
Associated Practice Facility / Clinic
🏢 Phoenix Services Corporation Facility NPI 1952570442

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Clearfield, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Clearfield, UT (520 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 4778536-6004

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
William Butler , LCSW

Social Worker - Clinical

NPI 1275864902

Licensed Clinical Social Worker

Rebecca Bacon , APC

Counselor - Professional

NPI 1508133752
James Northrop

Counselor - Professional

NPI 1700842069
Candis Holloman , CPCI

Counselor - Mental Health

NPI 1871824524

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active March 31, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2010

Registered at 189 S STATE ST, 160, CLEARFIELD, UT 840151061 (Tel: 8017732044)

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Updated Business Mailing Address March 31, 2010

Registered at 189 S STATE ST, STE 160, CLEARFIELD, UT 840151061 (Tel: 8017732044)

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Provider Name / Credentials Updated March 31, 2010

Recorded as LISA DIXON, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2010

Counselor (License #4778536-6004 in UT)

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Initial NPI Registration & Enumeration January 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407187149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2010
Last Update: March 31, 2010
Deactivation Date: January 17, 2022

Mailing Address

189 S State St, Ste 160

Clearfield, UT 840151061

Phone: 8017732044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.