Nina Beth Dillenbeck, NCC LCPC CAC-AD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC6977 Issued in MD

Practice address

605 N Bentz St
Suite 204
Frederick, MD 21701-4982

Phone

(443) 398-1700

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Thespacebetweenpsychotherapy, LLC

  • Mental Health Counselor
  • Frederick, MD
  • NPI 1215463096
  NPD (past) Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1295174613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 YORK ST",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872146",
            "telephone_number": "443-398-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BENTZ ST",
            "address_2": "SUITE 204",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014982",
            "telephone_number": "443-398-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENBECK",
        "first_name": "NINA",
        "middle_name": "BETH",
        "credential": "NCC LCPC CAC-AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC1186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven F Digles, DC
• Ashley Digneo, LMSW
• Patrice H. Dihle, LCSW-C
• Naomi Dike-Israel
• Amanda Victoria Dillehay, MS
• Hannah Dilley
• Jared Dillon
• Gabrielle Diluzio-Macbride
• Janine Dimitriou
• Carly Dingee

• Professional Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.