Elizabeth Dillingham, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

273714 Issued in KY

Practice address

2000 Bloom Ave
Paducah, KY 42003-2632

Phone

(270) 448-0961

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lifeline Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Paducah, KY
  • NPI 1013598317
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1427799444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7652",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027652",
            "telephone_number": "270-448-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BLOOM AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420032632",
            "telephone_number": "270-448-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 Morgan Ln",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420019683",
            "country_code": "US",
            "telephone_number": "270-448-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "ELIZABETH",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "273714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jinnifer B Discher, LPCC
• Ashley Danielle Dissmore
• Divine Transitions LLC
• Doc Marvin LLC

• Mental Health Counselor in Paducah, KY
• Providers in Paducah, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.