Individual provider Active NPI

Nicholas Dillon, M.S., M.A., SACIT

  • Addiction (Substance Use Disorder) Counselor
  • Pewaukee, WI
National Provider Identifier
1275822397
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16137-131 Issued in 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
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16137-131 WI Primary

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

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
16137-131WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Believe Wellness Center PLLC Addiction (Substance Use Disorder) Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1275822397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N BROOKFIELD RD",
            "address_2": "SUITE 104-141",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451964",
            "telephone_number": "866-305-9818",
            "fax_number": "262-691-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 QUAIL CT",
            "address_2": "SUITE 203",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723790",
            "telephone_number": "262-691-2980",
            "fax_number": "262-691-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "M.S., M.A., SACIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16137-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.