Individual provider Active NPI

Alicia M Dill, PC

  • Professional Counselor
  • Elyria, OH
National Provider Identifier
1073941654
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1200720 Issued in OH
Practice address
333 Naples Dr
Elyria, OH 44035-1524
Phone
(440) 324-1168
Fax
(440) 365-3762
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1200720 OH Primary

Addresses

Primary practice location

333 Naples Dr
Elyria, OH 44035-1524

Mailing address

333 Naples Dr
Elyria, OH 44035-1524
Phone (440) 324-1168

Other practice location 1

122 W Center St
Fostoria, OH 44830-2201
Phone (419) 435-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.1200720OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Counseling Services 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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073941654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NAPLES DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351524",
            "telephone_number": "440-324-1168",
            "fax_number": "440-365-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NAPLES DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351524",
            "telephone_number": "440-324-1168",
            "fax_number": "440-365-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Center St",
            "address_purpose": "LOCATION",
            "city": "Fostoria",
            "state": "OH",
            "postal_code": "448302201",
            "country_code": "US",
            "telephone_number": "419-435-0204",
            "fax_number": "419-436-9846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILL",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1200720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.