Active NPI
Edward Dillon Sr.
- Pastoral Counselor
- Brookhaven, MS
National Provider Identifier
1649801788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- ED716381D
- Practice address
- 225 E Minnesota St
Brookhaven, MS 39601-3833 - Phone
- (601) 754-7106
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | ED716381D | MS | Primary |
Addresses
Primary practice location
225 E Minnesota St
Brookhaven, MS 39601-3833
Mailing address
225 E Minnesota St
Brookhaven, MS 39601-3833
Phone (601) 754-7106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ED716381D | MS | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1649801788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E MINNESOTA ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396013833",
"telephone_number": "601-754-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E MINNESOTA ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396013833",
"telephone_number": "601-754-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "EDWARD",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MS",
"license": "ED716381D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, MS
- Dena W. Jackson, M.D.
- Courtney L Denton, LMFT
- DHP Brookhaven, Inc (Downhome Pharmacy Brookhaven)
- Erica Jana Diggs
- Dignity Hospice LLC (Dignity Hospice)
- Diversicare of Brookhaven, LLC (Diversicare of Brookhaven)
- Kayla Evette Dixon-Freeman, RPH
- Tammy Lofton Dixon, FNP
- Doctors Urgent Care, LLC
- Anita Sharyl Clinton Donegan, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.