It is located roughly on the boundary between the towns of North Hudson and Keene in Essex County, and in the High Peaks Wilderness Area of Adirondack Park.

[8] The mountain was reportedly first climbed in 1807 by a man named Rykert in the course of surveying the town line.

The Hunters Pass Trail begins at the Elk Lake parking lot and is closed during the big game hunting season.

[11] Hikers wishing to cover other peaks in the Dix Range can follow an unmarked trail to the summit of Macomb Mountain, or follow an unmarked trail from Lillian Brook to the ridge between Hough Peak, South Dix, and Macomb Mountain, and travel north on the crest ridge.

[12][5] Dix Mountain can also be approached from the north on the Round Pond Trail beginning at New York State Route 73, which is maintained by the Adirondack Forty-Sixers.