Nicholas Dillon, M.S., M.A., SACIT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pewaukee, WI
NPI 1275822397 · NPPES record last updated Apr 7, 2017
Key facts
- NPI
- 1275822397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 16137-131 (WI)
- Practice address
- 1177 Quail CT
Suite 203
Pewaukee, WI 53072-3790 - Phone
- (262) 691-2980
- Fax
- (262) 691-4966
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16137-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Believe Wellness Center PLLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16137-131 | WI | Yes |
Addresses
Primary practice location
1177 Quail CT
Suite 203
Pewaukee, WI 53072-3790
Mailing address
3815 N Brookfield Rd
Suite 104-141
Brookfield, WI 53045-1964
Phone (866) 305-9818
Other providers in Pewaukee, WI
- Harshita Desai-Walter
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- Diciaula Health Services, SC
- Tad Alan Diciaula
- Jolie A Dillaber
- Marie Dittmer
- Divine Care Transportation LLC
- Jenna Lavin Dobling
- James E Donaldson
- Angela Dorff
All providers in Pewaukee, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.