Individual provider Active NPI

Tonya Annette Hillman, MS, LPC

  • Professional Counselor
  • Waynesville, MO
National Provider Identifier
1386919710
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012007128 Issued in MO
Practice address
23526 Restore
Waynesville, MO 65583-3215
Phone
(573) 855-9114
NPI assigned
Mar 19, 2012
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2012007128 MO Primary

Addresses

Primary practice location

23526 Restore
Waynesville, MO 65583-3215

Mailing address

24150 Swift LN
Waynesville, MO 65583-3340
Phone (573) 433-0587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001312 AL Practitioner - Mental Health Counselor 5193164465 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012007128MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davine Counseling Center, LLC CurrentSince Mar 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

28851 N Main St
Ste B
Daphne, AL 36526
Phone (251) 615-1233

Interoperability endpoints

  • Direct secure messaging: tonyahillman@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1386919710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24150 SWIFT LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833340",
            "telephone_number": "573-433-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23526 RESTORE",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833215",
            "telephone_number": "573-855-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "TONYA",
        "middle_name": "ANNETTE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012007128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

Verify at the official NPI Registry.