KELEISHA DIXON
NPI 1053930628
Counselor - Professional in Culpeper, VA
About Keleisha Dixon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELEISHA DIXON (NPI 1053930628) is an individual professional provider in Culpeper, Virginia, licensed in Virginia (0701009017) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keleisha Dixon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keleisha Dixon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, Virginia enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keleisha Dixon's NPI number?
The NPI number for Keleisha Dixon is 1053930628. It was assigned to this individual provider in the NPPES registry on April 13, 2020.
Where is Keleisha Dixon located?
Keleisha Dixon practices at 1300 Sunset Ln Ste 3120, Culpeper, VA 22701. The listed phone number is (540) 399-9970.
What is Keleisha Dixon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keleisha Dixon enrolled in Medicare?
Yes. Keleisha Dixon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keleisha Dixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keleisha Dixon reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keleisha Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keleisha Dixon was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keleisha Dixon · NPI 1053930628
Professional provider in Culpeper, Virginia. Individual provider, active in the CMS NPPES registry since April 13, 2020.
## Identity
- **NPI:** 1053930628 (Entity type: Individual)
- **Enumerated:** April 13, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701009017 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 SUNSET LN STE 3120, Culpeper, VA 22701-3398
- **Phone:** (540) 399-9970
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2012
## Record status
- **NPPES last updated:** April 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053930628) · Data from the CMS NPPES public registry.