Active NPI
Lana Jo Dillon, LPC, LPE
- Professional Counselor
- Paragould, AR
National Provider Identifier
1710204375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0509062
- Practice address
- 600 E Kingshighway
Paragould, AR 72450-4537 - Phone
- (870) 476-1275
- NPI assigned
- Apr 22, 2010
- Last updated
- Oct 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172086795 | Medicaid | AR |
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 |
|---|---|---|---|
| P0509062 | AR | MD | Professional Counselor |
| 07-12E | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflection & Restoration Counseling PLLC | Current | 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.
-
- Mental Health Counselor
- Paragould, AR
- NPI 1861358079
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
- Hugh Ashley Dickinson, D.C.
- Melanie Leann Dickinson, PHD, LPC
- Stacey Dickinson
- Amy Nicole Dickson, LCSW
- Heather Dickson
- Lindsey Dixon
- Doctors Health Group, Inc (Paragould Doctors' Clinic)
- Doctors Health Group, Inc (Paragould Doctors' Clinic)
- Doctors' Pathology Services, PA (Arkansas Anatomic Pathology Laboratory)
- Karen Faye Dollins, RN
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.