Jason Dillard, LIMHP

Individual provider Active NPI Mental Health Counselor · Lexington, NE

NPI 1063940872 · NPPES record last updated May 22, 2025

Key facts

NPI
1063940872
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11166 (NE)
Practice address
1103 Buffalo BND
Lexington, NE 68850-1528
Phone
(308) 324-6386
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plum Creek Medical Group PC (7 clinicians)

Practice addresses (Care Compare)

1103 Buffalo BND
Lexington, NE 68850-1528
Phone (308) 324-6386

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260401001480 NE Practitioner - Mental Health Counselor 6002391612 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11166NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Creek Medical Group, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11166 NE Yes

Addresses

Primary practice location

1103 Buffalo BND
Lexington, NE 68850-1528

Mailing address

PO Box 797
Lexington, NE 68850-0797
Phone (308) 324-6386

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2025.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1063940872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500797",
            "telephone_number": "308-324-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BUFFALO BND",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501528",
            "telephone_number": "308-324-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "JASON",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

All providers in Lexington, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.