Individual provider Active NPI

Lana Jo Dillon, LPC, LPE

  • Professional Counselor
  • Paragould, AR
National Provider Identifier
1710204375
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0509062 Issued in AR
Practice address
600 E Kingshighway
Paragould, AR 72450-4537
Phone
(870) 476-1275
NPI assigned
Apr 22, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0509062 AR Primary
Psychologist 103T00000X 07-12E AR

Addresses

Primary practice location

600 E Kingshighway
Paragould, AR 72450-4537

Mailing address

600 E Kingshighway
Paragould, AR 72450-4537
Phone (870) 476-1275

Other practice location 1

1715 Linwood Dr
Paragould, AR 72450-5820
Phone (870) 236-5880

Other identifiers 1

IdentifierTypeStateIssuer
172086795MedicaidAR

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

LicenseStateTypeSpecialty
P0509062ARMDProfessional Counselor
07-12EARMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reflection & Restoration Counseling PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

600 E Kingshighway
Paragould, AR 72450
Phone (870) 243-8160

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

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1710204375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504537",
            "telephone_number": "870-476-1275",
            "fax_number": "870-335-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504537",
            "telephone_number": "870-476-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Linwood Dr",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724505820",
            "country_code": "US",
            "telephone_number": "870-236-5880",
            "fax_number": "870-236-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "LANA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LPC, LPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0509062",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "07-12E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172086795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.