Evelyn Marie Dillingham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

288073-6004 Issued in UT

Practice address

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519

Phone

(801) 302-3801

Fax

(801) 302-7248

NPI assigned

Feb 24, 2011

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Point Counseling Services, LLCGroup PAC ID 0749430650, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Point Counseling Services, LLC

  • Clinical Social Worker
  • South Jordan, UT
  • NPI 1265709844
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1053618116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "EVELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "288073-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentists of South Jordan, LLP
• Department of Ophthalmology
• Paula Diaz
• Carlie Didericksen
• Marian Dignan
• Alison Dinkelman, LCSW
• Kaitlyn Jo Dionne, BCBA, LBA
• Diversified Home Care LLC
• Kindee Dixon, LCMHC
• Tanner Dixon

• Mental Health Counselor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.