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: July 19, 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
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

Other Names 1

Former Name (1)Sally Dixon Rivenbark

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Behavior Analyst
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Counselor (Mental Health)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609
Social Worker (Clinical)
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841910957, enumerated as an "individual" on August 30, 2022.

The provider is located at 5000 FALLS OF NEUSE RD STE 300 RALEIGH, NC 27609 and the phone number is (919) 865-8710.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Oscar Health. Please consult your insurance carrier or call the provider to verify.