Talia Dillard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2115 E Vision View Dr
Wasilla, AK 99654-0596

Phone

(907) 715-1610

NPI assigned

Aug 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1295401883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E VISION VIEW DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540596",
            "telephone_number": "907-715-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E VISION VIEW DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540596",
            "telephone_number": "907-715-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "TALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9077151610",
            "affiliation": "N",
            "address_1": "2115 E Vision View Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996540596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diagnostic Health Center of Anchorage, LLC
• Natalia Dias, LPC
• Michael A Dibartolo, DO
• Ann Marie Diemer, LMT
• Thomas Diemidio
• Susanne Ruth Dillon, MD
• Rene Dillow, RN
• Leilani Carol Disselkoen
• Martha Dixon
• DM Care Coordination

• All providers in Wasilla, AK
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.