Justin Matthew Dillon, LAC, LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1208060 Issued in AR

Practice address

823 N Main St
Harrison, AR 72601-2914

Phone

(870) 741-2960

Fax

(870) 741-2965

NPI assigned

Oct 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  Medicare reassignment NPD
• Maxus Inc

  dba Arkansas Counseling Associates

  • Mental Health Counselor
  • Newport, AR
  • NPI 1952558264
  NPD (past)
• Transitions Counseling Clinic PLC

  • Professional Counselor
  • De Queen, AR
  • NPI 1902501281

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1487930038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147B PRAIRIE VIEW RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015587",
            "telephone_number": "870-391-1585",
            "fax_number": "870-741-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012914",
            "telephone_number": "870-741-2960",
            "fax_number": "870-741-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "credential": "LAC, LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1208060",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "350L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Dennis, MHPP
• Dental Creations LLC
• Teresa Devito
• Ashley Elizabeth Dewey, OTR/L
• Aura Diaz
• Melissa Ann Dixon
• Erica Y Doering
• Robert C. Doshier, DDS, PA
• Kimberly Rose Drummond, MSN, APRN, AGPCNP-C
• Dubwig Therapy Services, Inc.

• Mental Health Counselor in Harrison, AR
• Providers in Harrison, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.