Provider Type Icon

BETHANY L NIXON LPC NPI 1508429614


NPI Information

NPI: 1508429614
Provider Name: BETHANY L NIXON, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4043 FAIRFAX ST
AUGUSTA, GA
ZIP 30907
Phone: (706) 399-4579
Get Directions

Bethany L Nixon, LPC is a mental health counselor in Augusta, GA. Bethany L Nixon, LPC NPI is 1508429614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4043 FAIRFAX ST
AUGUSTA, GA
ZIP 30907-190
Phone: (706) 399-4579

The enumeration date for this NPI number is 4/16/2019 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLPC010879GEORGIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LPC010879GEORGIANo
3101YM0800XCounselorMental HealthLPC010879GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.