Active NPI
Bryan Dillon, LPCC
- Professional Counselor
- Gunnison, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC.0018632
- Practice address
- 300 E Denver Ave
Gunnison, CO 81230-2210 - Phone
- (970) 641-1456
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC.0018632 | CO | Primary |
Addresses
Primary practice location
300 E Denver Ave
Gunnison, CO 81230-2210
Mailing address
711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-1456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC.0018632 | Other | CO | LICENSE |
Organizations & group practices 7
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.
-
- Ambulance
- Gunnison, CO
- NPI 1336684315
-
- Medicare Defined Swing Bed Hospital Unit
- Gunnison, CO
- NPI 1689023871
-
- Rural Health Clinic/Center
- Gunnison, CO
- NPI 1861014284
-
- Urgent Care Clinic/Center
- Gunnison, CO
- NPI 1477361228
-
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
-
- Specialist
- Crested Butte, CO
- NPI 1881387322
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gunnison Valley Hospital
Practice addresses (Care Compare)
510 W Bidwell Ave
Gunnison, CO 81230-2722
Phone (970) 648-7128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312004102 | CO | Practitioner - Mental Health Counselor | 9335585397 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0018632 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | Accepting new patients |
Locations
300 E Denver Ave
Gunnison, CO 81230
Phone (970) 641-1456
711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456
707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771
1 Western Way
#104
Gunnison, CO 81231
Phone (970) 648-7128
510 W Bidwell Ave
Gunnison, CO 81230
Phone (970) 641-7264
Interoperability endpoints
- bryan.dillon.1@11629.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1124699111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N TAYLOR ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302296",
"telephone_number": "970-641-1456",
"fax_number": "970-641-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E DENVER AVE",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302210",
"telephone_number": "970-641-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0018632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LPCC.0018632",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.