Active NPI
Maria Dillard, LMHC
- Mental Health Counselor
- Navarre, FL
National Provider Identifier
1710675764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH25102
- Practice address
- 9466 Navarre Pkwy Ste B
Navarre, FL 32566-2948 - Phone
- (194) 580-7947
- NPI assigned
- Apr 27, 2023
- 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 | MH25102 | FL | Primary |
Addresses
Primary practice location
9466 Navarre Pkwy Ste B
Navarre, FL 32566-2948
Mailing address
1882 Bayou Dr
Navarre, FL 32566-7600
Phone (719) 629-6218
Other names 1
- Maria Lance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 20, 2025 through Mar 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH25102 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1710675764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1882 BAYOU DR",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667600",
"telephone_number": "719-629-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9466 NAVARRE PKWY STE B",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325662948",
"telephone_number": "194-580-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "MARIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH25102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "LANCE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.