Active NPIIndividual providerSole proprietor

Tanisha Dixon

Counselor, Mental Health in Maplewood, New Jersey

NPI Number1619873502
Practice location
9 Evelyn CT, Maplewood, NJ 07040-3319
Fax
—
Last updated
October 16, 2026

Tanisha Dixon is a Counselor, Mental Health based in Maplewood, NJ. Tanisha Dixon practices in Maplewood, NJ. The NPI Number for Tanisha Dixon is 1619873502 and holds a License No. 37ACOO669100 (NJ). The current practice location address for Tanisha Dixon is 9 Evelyn CT, Maplewood, NJ 07040-3319 and can be reached out via phone at 862-684-5489.

Provider Profile Details

NPI Number
1619873502
Provider Name
Tanisha Dixon
Provider Entity Type
Individual
Gender
Female
Address
9 Evelyn CT, Maplewood, NJ 07040-3319
Phone Number
862-684-5489
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2026
Last Update Date
October 16, 2026
Certification Date
October 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Evelyn CT
Maplewood, NJ 07040-3319
Zip
07040-3319
Phone Number
862-684-5489
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
9 Evelyn CT
Maplewood, NJ 07040-3319
City
Maplewood
State
NJ
Zip
07040-3319
Phone Number
862-684-5489

License Information

License Number (1)
37ACOO669100
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
37AC00669100
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanisha Dixon?

The NPI number of Tanisha Dixon is 1619873502. It was assigned on October 16, 2026 and is currently active in the NPPES registry.

What is the specialty of Tanisha Dixon?

Tanisha Dixon is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37ACOO669100.

Where does Tanisha Dixon practice?

The practice location is 9 Evelyn CT, Maplewood, NJ 07040-3319. The office can be reached at 862-684-5489 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619873502 directly on the NPPES registry website.

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