SOPHIA DIXON


Address: 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900
Phone: 2172032008

SOPHIA DIXON (NPI# 1932712890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932712890
Entity Type Individual
Full Name SOPHIA DIXON
Credential LPC
Practice Address 313 N Mattis Ave Ste 116
Champaign
IL 61821-7900
Practice Telephone 2172032008
Practice Fax Number 8444127089
Mailing Telephone 2172032008
Mailing Fax Number 8444127089
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178016223 IL Behavioral Health & Social Service Providers

Office Location

Street Address 313 N MATTIS AVE STE 116
City CHAMPAIGN
State IL
Zip Code 61821-7900

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1457698169 Mohamad Ata Registered Nurse 1802 S. Mattis, Champaign, IL 61821 2013-01-15
1609124338 Lolitia Rosanna Newman Social Worker 1508 Powers Ln., Champaign, IL 61821 2012-08-28
1679850887 Kirk Donald Gohsman Counselor 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 2011-11-16
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720607872 Joyce Bechtel Counselor 100 N Chestnut St Ste 225, Champaign, IL 61820-3329 2020-04-09
1356975643 Jamie Sue Stevens Counselor 201 W Springfield Ave Ste 208, Champaign, IL 61820-4875 2020-02-26
1639716624 Melanie L. Bailey Counselor 701 Devonshire Dr Ste B16-b18, Champaign, IL 61820-7337 2019-12-09
1659932663 George W. Cook Professional Corporation Counselor 1002 Mayfair Rd, Champaign, IL 61821-4435 2019-06-21
1891352142 Staci Poe Counseling Services Counselor 53 E Bradley Ave, Champaign, IL 61820-2741 2019-05-22
1861968240 Imani Taliah Harrison Counselor 701 Devonshire Dr Ste C53, Champaign, IL 61820-7361 2018-10-23
1790265825 Anna Farris Counselor 201 W Springfield Ave Ste 1005, Champaign, IL 61820-4968 2018-08-17
1437635752 Sheldon Gerrard Aaron Counselor 201 W Springfield Ave Ste 1201, Champaign, IL 61820-6385 2018-07-19
1114418456 Rebecca Pauline Harrison Counselor 201 W Springfield Ave Ste 1006, Champaign, IL 61820-6379 2018-05-22
1922519057 Kathryn E Martin Counselor 2206 Branch Rd, Champaign, IL 61821-6257 2017-10-16
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Competitor

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City CHAMPAIGN
Zip Code 61821

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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