EDWARD DIXON III LPC
NPI 1679003727
Counselor - Professional in Havertown, PA

Active since June 12, 2017PECOS Enrolled
1104 ALLSTON RD, HAVERTOWN, PA 19083(610) 742-2109 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Dixon Iii Lpc NPPES

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

EDWARD DIXON III LPC (NPI 1679003727) is an individual professional provider in Havertown, Pennsylvania, licensed in Pennsylvania (PC005670) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679003727
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEDWARD DIXON IIICredential: LPC
Location Address1104 ALLSTON RDHavertown, PA 19083-3816
Mailing Address1104 Allston RdHavertown, PA 19083-3816
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 12, 2017
NPI 1679003727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC005670
1104 ALLSTON RD, Havertown, PA 19083

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward Dixon Iii Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406349505
PECOS Enrollment IDI20251205004447
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.

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 Edward Dixon's NPI number?

The NPI number for Edward Dixon is 1679003727. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Edward Dixon located?

Edward Dixon practices at 1104 Allston Rd, Havertown, PA 19083. The listed phone number is (610) 742-2109.

What is Edward Dixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Edward Dixon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Edward Dixon was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.