Provider Demographics
NPI:1568616753
Name:RIXON, BRIAN EDWARD (MA, LCPC, LCAC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:EDWARD
Last Name:RIXON
Suffix:
Gender:M
Credentials:MA, LCPC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E MCCOY AVE
Mailing Address - Street 2:
Mailing Address - City:SUBLETTE
Mailing Address - State:KS
Mailing Address - Zip Code:67877-7836
Mailing Address - Country:US
Mailing Address - Phone:620-655-0536
Mailing Address - Fax:
Practice Address - Street 1:307 E MCCOY AVE
Practice Address - Street 2:
Practice Address - City:SUBLETTE
Practice Address - State:KS
Practice Address - Zip Code:67877-7836
Practice Address - Country:US
Practice Address - Phone:620-655-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS808101YA0400X, 101YA0400X
KS2584101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional