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SALLY KATELYN DIXON LCMHC-A
NPI 1841910957
Counselor - Mental Health in Raleigh, NC

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
5000 FALLS OF NEUSE RD STE 300, RALEIGH, NC 27609(919) 865-8710(919) 256-0772 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Aug 30, 2022 (2 updates tracked since 2022).

About Sally Katelyn Dixon Lcmhc-a NPPES

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

SALLY KATELYN DIXON LCMHC-A (NPI 1841910957) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (17873) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2022).

NPPES Registry Identity

NPI1841910957
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSALLY KATELYN DIXONCredential: LCMHC-A
Location Address5000 FALLS OF NEUSE RD STE 300Raleigh, NC 27609-5480
Mailing Address5000 Falls Of Neuse Rd Ste 300Raleigh, NC 27609-5480 · (919) 865-8710 · Fax (919) 256-0772
Phone(919) 865-8710
Fax(919) 256-0772
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2022
Enumeration DateAugust 30, 2022
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1841910957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 17873
5000 FALLS OF NEUSE RD STE 300, Raleigh, NC 27609
Open in Google Maps ↗

Other Names 1

Former Name (1)Sally Dixon Rivenbark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

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

Sally Katelyn Dixon Lcmhc-a 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.

PECOS PAC ID4385163237
PECOS Enrollment IDI20250523001699
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 Sally Dixon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Easter Seals Ucp North Carolina & Virginia, Inc.
Same address
Community/Behavioral Health
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 71 clinicians in this Medicare group
NPI 1306167713 (919) 865-8710

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 20

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

GABRIELLA NICOLE VON VAJNA LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
TIFFANY RANELL SNEAD LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
KATHRYN CHRISTINA LANE LCMHC
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
SAMANTHA JEAN LEGG LCMHC
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
BROOKE HALEY BATES LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
SHAKERA TY'ICE HEPBURN
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Community/Behavioral Health
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710
ANDREW GORDON MCCULLAGH LCSW-A
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Wake County (919) 865-8710

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 Sally Dixon's NPI number?

The NPI number for Sally Dixon is 1841910957. It was assigned to this individual provider in the NPPES registry on August 30, 2022. The provider is also known as Sally Dixon Rivenbark.

Where is Sally Dixon located?

Sally Dixon practices at 5000 Falls Of Neuse Rd Ste 300, Raleigh, NC 27609. The listed phone number is (919) 865-8710.

What is Sally Dixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sally Dixon enrolled in Medicare?

Yes. Sally 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 Sally Dixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Dixon reassigns Medicare benefits to Easter Seals Ucp North Carolina & Virginia, Inc. (Raleigh, NC). 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 Sally Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Dixon accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sally 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 Sally Dixon was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.