Mandy Colleen Dillard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

305R00000X Issued in OK

Practice address

213 W Broadway Ave
Elk City, OK 73644-4741

Phone

(866) 926-6552

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mandy Colleen Dillard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Yco Tulsa, Inc

  dba YouthCare of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk City, OK
  • NPI 1629087895
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1275183139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W BROADWAY AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444741",
            "telephone_number": "866-926-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W BROADWAY AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444741",
            "telephone_number": "866-926-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "MANDY",
        "middle_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "305R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "DILLARD",
            "middle_name": "COLLEEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Denney
• Skylar Denning, PTA
• Erick Charles Derocher, D.O.
• Drew Detherow
• Grant Richard Detten, DO
• Diversified Family Services Inc
• Salena A Dixon, ARNP
• Doctors Bintz & Ellis
• Silas Dodgen
• Christine Lynn Dowty, LPC CANDIDATE

• Mental Health Counselor in Elk City, OK
• Providers in Elk City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.