KELLI DIXON - NPI 1053043703 - Marriage & Family Therapist in Germantown, MD

Q: What is Kelli Dixon's NPI number?

The NPI number for Kelli Dixon is 1053043703. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Kelli Dixon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kelli Dixon enrolled in Medicare?

No. Kelli Dixon has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelli Dixon was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Kelli Dixon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI DIXON (NPI 1053043703) is an individual marriage & family therapist in Germantown, Maryland and active in the NPI registry since June 2022. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1053043703

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLI DIXON

Location Address13228 EXECUTIVE PARK TERGermantown, MD 20874-2640

Mailing Address13228 Executive Park TerGermantown, MD 20874-2640

Phone(240) 489-1108

Sole ProprietorNo

Enumeration DateJune 29, 2022

NPPES CertifiedJune 29, 2022

✔ NPI 1053043703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

13228 EXECUTIVE PARK TER, Germantown, MD 20874

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelli Dixon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024

Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. INGRID FAVIOLA PONCIANO LMFT

Marriage & Family Therapist