Active NPI
Aathina Dillard
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1649839739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60764499
- Practice address
- 102 23Rd Ave SE Unit 102a
Puyallup, WA 98372-4501 - Phone
- (253) 987-5561
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60764499 | WA | Primary |
Addresses
Primary practice location
102 23Rd Ave SE Unit 102a
Puyallup, WA 98372-4501
Mailing address
102 23Rd Ave SE Unit 102a
Puyallup, WA 98372-4501
Phone (253) 987-5561
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 |
|---|---|---|---|
| LH60764499 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meier Clinics of California Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1649839739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 23RD AVE SE UNIT 102A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724501",
"telephone_number": "253-987-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 23RD AVE SE UNIT 102A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724501",
"telephone_number": "253-987-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "AATHINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60764499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.