Dale Kay Lillak, M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 29618 Issued in CA

Practice address

2391 The Alameda
Suite 110
Santa Clara, CA 95050-6011

Phone

(408) 260-9995

Fax

(408) 246-1050

NPI assigned

Aug 10, 2006

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

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1447261193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 THE ALAMEDA",
            "address_2": "SUITE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506011",
            "telephone_number": "408-260-9995",
            "fax_number": "408-246-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 THE ALAMEDA",
            "address_2": "SUITE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506011",
            "telephone_number": "408-260-9995",
            "fax_number": "408-246-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLAK",
        "first_name": "DALE",
        "middle_name": "KAY",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 29618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenrick Brian Licorish, MD
• Brandy Ann Lidbeck
• Life Therapy Inc
• Liffey Health
• Oliver Liggins
• Mark R. Lillo, MD
• Lily H Kim OD a Professional Corporation (Eyetopia Optometry)
• Jacquelyn Lim, OD
• Jeff Lim, P.T.
• Jenny Choon Yen Lim, DDS

• Mental Health Counselor in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.