Individual provider Active NPI

Bryan Dillon, LPCC

  • Professional Counselor
  • Gunnison, CO
National Provider Identifier
1124699111
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC.0018632 Issued in CO
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

Updated by the provider on Sep 7, 2021

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 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

IdentifierTypeStateIssuer
LPCC.0018632OtherCOLICENSE

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.

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 81 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312004102 CO Practitioner - Mental Health Counselor 9335585397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0018632COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital CurrentSince Jan 30, 2024 Accepting new patients
Gunnison Valley Hospital CurrentSince Jan 30, 2024 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.