Individual provider Active NPI

Kelsey Dillon, M.S.

  • Counselor
  • Madison, WI
National Provider Identifier
1295184083
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2199 Issued in WI
Practice address
1001 Fourier Dr Ste 200
Madison, WI 53717-1958
Phone
(608) 740-2001
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6322-125 WI
Counselor 101Y00000X 2199 WI Primary

Addresses

Primary practice location

1001 Fourier Dr Ste 200
Madison, WI 53717-1958

Mailing address

2607 N. Grandview Blvd Suite 110
Waukesha, WI 53188
Phone (262) 313-8339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231221000112 MN Practitioner - Mental Health Counselor 2163872862
I20231222001530 WI Practitioner - Mental Health Counselor 2163872862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2199WIMDCounselor
6322-125WIMDProfessional Counselor
3920MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regent Mental Health Group SC CurrentSince Apr 17, 2025 Accepting new patients
Breathe Wellness & Prenatal Care LLC PastSince Feb 23, 2025 Accepting new patients
Hope for a Better Tomorrow PastSince Jan 22, 2014 Accepting new patients

Locations

700 Ray O Vac Dr
Ste 103
Madison, WI 53711
Phone (608) 238-5826

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1295184083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 N. GRANDVIEW BLVD SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-313-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FOURIER DR STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171958",
            "telephone_number": "608-740-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "KELSEY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6322-125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.