Individual provider Active NPI

Anna Dillingham, LLMHC

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1053869438
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18PO2359 Issued in NY
Practice address
596 Charles St # 97
Providence, RI 02904-1346
Phone
(917) 847-6321
Fax
(833) 382-0083
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18PO2359 NY Primary

Addresses

Primary practice location

596 Charles St # 97
Providence, RI 02904-1346

Mailing address

595 Charles St # 97
Providence, RI 02904-1356
Phone (917) 847-6321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2024 through Jan 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18PO2359NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1053869438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHARLES ST # 97",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041356",
            "telephone_number": "917-847-6321",
            "fax_number": "833-382-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 CHARLES ST # 97",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041346",
            "telephone_number": "917-847-6321",
            "fax_number": "833-382-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "ANNA",
        "credential": "LLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18PO2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.