Andrew R Dillingham, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1453 Issued in KS

Practice address

505 W 15TH St
Pleasanton, KS 66075-4095

Phone

(913) 352-8214

NPI assigned

Jul 21, 2011

Last updated

Aug 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andy Dillingham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southeast Kansas Mental Health Center

  dba Ashley Clinic

  • Community/Behavioral Health Agency
  • Humboldt, KS
  • NPI 1366184228
  NPD (past)
• Southeast Kansas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humboldt, KS
  • NPI 1467414771
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1508154725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "304 N. JEFFERSON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492327",
            "telephone_number": "620-365-8641",
            "fax_number": "620-365-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 15TH ST",
            "city": "PLEASANTON",
            "state": "KS",
            "postal_code": "660754095",
            "telephone_number": "913-352-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200732040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "DILLINGHAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Michelle Coen
• Community Health Center of Southeast Kansas, Inc.
• Community Health Center of Southeast Kansas, Inc. (Apothecare - Pleasanton)
• Community Health Center of Southeast Kansas, Inc. (Apothecare - Pleasanton)
• County of Linn (Linn County Health Department)
• Emergystat,Inc.
• Aaron Feldkamp
• Rachel Foster
• Robin M Friend, FNP
• Jennifer Greene

• Clinical Psychologist in Pleasanton, KS
• Providers in Pleasanton, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.