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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBONY DIXON PMHNP-BC
NPI 1114893625
Nurse Practitioner - Psychiatric/Mental Health in Willoughby, OH

Active since October 13, 2025
30841 EUCLID AVE STE 201, WILLOUGHBY, OH 44094(440) 249-7695 Get Directions Write a Review

NPPES record last updated: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 5, 2026, May 27, 2026 (2 updates tracked since 2026).

About Ebony Dixon Pmhnp-bc NPPES

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

EBONY DIXON PMHNP-BC (NPI 1114893625) is an individual psychiatric/mental health provider in Willoughby, Ohio, licensed in Ohio (APRN.CNP.0043246) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1114893625
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBONY DIXONCredential: PMHNP-BC
Location Address30841 EUCLID AVE STE 201Willoughby, OH 44094-3100
Mailing Address4597 Wilburn DrSouth Euclid, OH 44121-3862
Phone(440) 249-7695
Sole ProprietorYes
Enumeration DateOctober 13, 2025
Last NPPES UpdateSeptember 5, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2026
✔ NPI 1114893625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0043246
30841 EUCLID AVE STE 201, Willoughby, OH 44094
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MICHELLE ANTOINETTE CASEY
Counselor (Addiction (Substance Use Disorder))
30841 EUCLID AVE STE 201
WILLOUGHBY, OH 44094
Lake County (440) 516-0281
CAROLYN FRINK
Counselor (Professional)
30841 EUCLID AVE STE 201
WILLOUGHBY, OH 44094
Lake County (440) 516-0281
ALANA MAYE
Counselor (Mental Health)
30841 EUCLID AVE STE 201
WILLOUGHBY, OH 44094
Lake County (440) 516-0281

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 Ebony Dixon's NPI number?

The NPI number for Ebony Dixon is 1114893625. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Ebony Dixon located?

Ebony Dixon practices at 30841 Euclid Ave Ste 201, Willoughby, OH 44094. The listed phone number is (440) 249-7695.

What is Ebony Dixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ebony Dixon was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.