Marika J Dillon, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13932 Issued in FL

Practice address

304 Williams Ave
Port Saint Joe, FL 32456-1846

Phone

(850) 250-2579

Fax

(813) 262-0999

NPI assigned

Jan 23, 2007

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Coastal Counseling and Therapy LLC

  dba Coastal Counseling & Therapy

  • Professional Counselor
  • Port Saint Joe, FL
  • NPI 1245688720
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1629122999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324570384",
            "telephone_number": "850-250-2579",
            "fax_number": "813-262-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WILLIAMS AVE",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561846",
            "telephone_number": "850-250-2579",
            "fax_number": "813-262-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MARIKA",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0091061",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "13932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Buzzett, M.S. CCC/SLP
• Coastal Counseling and Therapy LLC (Coastal Counseling & Therapy)
• Kalah Khamalah Cobourne
• Dailey Therapy, LLC
• Nakia Tamika Taylor Dailey, MS, CCC-SLP
• Yvonne G Guillot, RPH
• Holiday CVS LLC (CVS Pharmacy 05246)
• Anne A Kenny, PT
• Brian Keith Kradel, M.D.
• Stephanie Ann Lewis

• Professional Counselor in Port Saint Joe, FL
• Providers in Port Saint Joe, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.