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BREONDA JAVONNE DIXON LCPC, LCADC
NPI 1396177697
Counselor in Las Vegas, NV

Active since August 08, 2013PECOS Enrolled
5510 S FORT APACHE RD STE 270, LAS VEGAS, NV 89148(702) 283-1437 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Breonda Javonne Dixon Lcpc, Lcadc NPPES

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

BREONDA JAVONNE DIXON LCPC, LCADC (NPI 1396177697) is an individual counselor in Las Vegas, Nevada, licensed in Nevada (CP5702) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396177697
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBREONDA JAVONNE DIXONCredential: LCPC, LCADC
Location Address5510 S FORT APACHE RD STE 270Las Vegas, NV 89148-7700
Mailing AddressPo Box 335122North Las Vegas, NV 89033-5122 · (702) 283-1437
Phone(702) 283-1437
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 8, 2013
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1396177697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NV · CP5702
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5510 S FORT APACHE RD STE 270, Las Vegas, NV 89148
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Secondary Practice Location 1

Location 13601 W Sahara Ave Ste 210Las Vegas, NV 89102-5821 · Phone (702) 268-2001 · Fax (702) 268-2010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breonda Javonne Dixon Lcpc, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981100385
PECOS Enrollment IDI20251003002973
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Breonda Dixon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urban Healthy Minds, LLC
13 mi
Community/Behavioral Health
11500 S EASTERN AVE STE 150
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1750960043 (702) 540-7671

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Breonda Dixon's NPI number?

The NPI number for Breonda Dixon is 1396177697. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Breonda Dixon located?

Breonda Dixon practices at 5510 S Fort Apache Rd Ste 270, Las Vegas, NV 89148. The listed phone number is (702) 283-1437.

What is Breonda Dixon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Breonda Dixon enrolled in Medicare?

Yes. Breonda Dixon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breonda Dixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breonda Dixon reassigns Medicare benefits to Urban Healthy Minds, LLC (Henderson, NV). 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 Breonda Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breonda Dixon accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Breonda Dixon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breonda Dixon was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.