Lisa Marie Dillman, MA, QMHP, CADC I

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

340 NE Kirby St
McMinnville, OR 97128-4301

Phone

(781) 510-1376

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1457502379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE KIRBY ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284301",
            "telephone_number": "781-510-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NE KIRBY ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284301",
            "telephone_number": "781-510-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MA, QMHP, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Alexander Dickson, ND
• Adam J Diesburg, DDS
• Sharon Dieter, PPS
• Sam Wei Dieu, APRN, RN
• Lovetta Annette Dill
• Walter Dillman
• Dirks Therapy Services LLC
• Kyla Dirks, M.S., CCC-SLP
• April Diviney, RN
• Heather Lavelle Dixon

• Student in an Organized Health Care Education/Training Program in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.